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HomeMy WebLinkAboutWI0800458_DEEMED FILES_20160902Rogers, Michael From: Ben Grosser <ben@rhea.us> Sent: Friday, September 02, 2016 7:41 AM To: Subject: Rogers, Michael; Gregson, Jim; King, Morella s; Watts, Debra; Shrestha, Shristi R Injection permit WI0800458 All, We are scheduled to start the next round of the injections under this permit beginning September 7, 2016. This will be the 3rd injection event under this permit. Please let me know if there are any questions. Thanks, Benjamin Grosser, P.G. Assistant Project Manager Rhea Engineers & Consultants, Inc. 314 N. Green Meadows Drive Suite 100 Wilmington, NC 28405 P: 910-350-3156 F: 910-350-2987 Cell: 910-650-9677 Please visit our updated web pages at www.rhea.us! .,\H infciflft~tth"H lt;)fn:1inc..d ~q tbh;; L"i.)i~ti;'., :i::,~--:~_hJin;} ~~-H)' ~~h~~C-h"H~tH'-~~rnr~~ .. Lit.Jt.~l; !lh:...:S;;11~e:-~i,, i..;;, pri\ ih~t~i:".d and ~tt:1ild1~~n1i~1:, f!Hd i1H1./\.k-~ thi.: · ,s.., ,.,f th~-, ;,,di, idu;-;l 11r .:nti1} it•\•. 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' • ., ~ 1 INJECTION EVENT RECORD North, Carolina Department of Environment and Natural Resources — Division of Water Resources Permit Number WI0800458 Page 2 of 2 Injections wells: Nine monitoring wells: HPFF-MW02, HPFF-MW86, HPFF-RW02. HPFFC- MW15. HPFFC MW19, HPFFC-MW29, HPFFC-MW79, HPFFC-MW82. HPFFC-MW92 'ECE1 io •per Quality -*inns SP,-*'_ INJECTION EVENT RECORD North Carolina Department of Environment and Natural Resources - Division of Water Resources Permit Number W10800458 1 Permit Information MCB Camp Lejeune Permittce Hadnot Point Fuel Farm Facility Name 1068 Ash St, Camp Lejeune Facility Address 2. injection Contractor Information Rhea-Consultech JV Injection Contractor / Company Name Street Address 314 N. Green Meadows Dr. Ste100 Wilmington NC 28405 City (910 )350-3156 Area code - Phone number 3. Well Information Number of wells used for injection 9 Well names: Please see attached additional paw State Zip Code Were any new wells installed during this injection event? ❑ Yes ®No If yes, please provide the following information: Number of Monitoring Wells Number of Injection Wells Type of Well Installed (Check applicable type): ❑ Bored ❑ Drilled ❑ Direct -Push ❑ Hand -Augured ❑ Other (specify) Please include a copy of the GW-1.form for each well installed. Were any wells abandoned during this injection event? ❑ Yes No If yes, please provide the following information: Number of Monitoring Wells Number of Injection Wells Please include a copy of the GW-30 for each well abandoned. 4 Injectant Information CBN and Petrobac Injectant Type Concentration 5% If the Injectant is diluted please indicate the source dilution fluid. Bldg 1068 water supply Total Volume Injected 1664 gal Volume Injected per well 200ga1 5. Injection History Injection date(s) 8/9/16 to 8/16/16 Injection number (e.g. 3 of 5)2 of 3 Is this the last injection at this site? Er Yes [ No I DO HEREBY CERTIFY THAT ALL THE INFORMATION ON THIS FORM IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THAT THE INJECTION WAS PERFORMED WITHIN THE STANDARDS LAID OUT IN THE PERMIT. 8118/16 SIGNATURE OF INJECTION CONTRACTOR DATE Lamy Meadows PRINT NAME OF PERSON PERFORMING THE INJECTION Submit the original of this form to the Division of Water Resources within 30 days of injection. Atm: UIC Program, 1636 Mail Service Center, Raleigh, NC27699-1636, Phone No. 919-807-6464 Form UIC-MR Rev. 8/3/2013 INJECTION EVENT RECORD North Carolina Department of Environment and Natural Resources -Divisiop. of Water Resources Permit Number WI0800458 Page 2 of2 In jections wells: Nine monitoring wells: HPFF-MW02 . HPFF-MW86 , HPFF-RW02 , HPFFC- MW15 , HPFFC-MW19 , HPFFC-MW29 , HPFFC-MW79 , HPFFC-MW82 , HPFFC-MW92 INJECTION EVENT RECORD North Carolina Department of Environment and Natural Resources -Division of Water Resources Permit Number WI0800458 1. Permit Information MCB Cam p Le jeune Permittee Hadnot Point-Fuel Farm Facility Name . 1068 Ash St. Camp Lejeune Facility Address 2. Injection Cogtractor Information Rhea-Consultech JV Injection Contractor/ Company Name Street Address 314 N . Green Meadows Dr. StelO0 Wilmington NC 28405 City State Zip Code (910 )J50-3156 Area code -Phone number 3 . Well Information Number of wells used for injection __,1=9 ___ _ Well names: Please see attached additional pa ge Were any new wells installed during this injection event? D Yes 18:J No If yes, please provide the following information: Number of Monitoring Wells _____ _ Number of Injection Wells. _______ _ Type of Well Installed (Check applicable type): D Bored D Drilled D Direct-Push D Hand-Augured D Other (specify) __ _ Please include a copy of the GW-1 form for each well installed. Were any wells abandoned during this injection event? D Yes [ii No If yes, please provide the following information: Number of Monitoring Wells ______ _ Number of Injection Wells. _______ _ Please include a copy of the GW-30/or each well abandoned 4 . Injectant Information CBN and Petrobac Inj ectant Type ConcentrationSo/c_o __________ _ If the inj ectant is diluted please indicate the source dilution fluid. Bldg 1068 water supply Total Volume Injected._4:....:.7-=3=8o:ga=l'------- Volume Injected per well._--4----=8=0=ga=l,._ ___ _ 5. Injection History Injection date(s) 5/23/16 to 6/21/16 Injection number (e.g. 3 of5)"'-1--"'o"'""f .:::.3 ____ _ ls this the last injection at this site? D Yes [i.l No I DO HEREBY CERTIFY THAT ALL THE INFORMATION ON THIS FORM IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THAT THE INJECTION WAS PERFORMED WITHIN THE STANDARDS LAID OUT IN THE PERMIT. ~ SIGNATURE QF 1N.JE ~ CONTRACTOR L arry Meadows 7/6/16 DATE PRINT NAME OF PERSON PERFORMING THE INJECTION Submit the original of this form to the Division of Water Resources within 30 days of injection. Attn : UlC Program, 1636 Mail Service Center, Raleigh, NC 2 7699-1636, Phone No. 919-807-6464 Form UIC-IER Rev. 8/5/2013 0-v/yt-J Rogers, Michael From: Ben Grosser ben@rhea.us> Sent: Monday, August 01, 20115 8:54 AM To: Rogers, Michael; Gregson, Jim; King, Morelia s; Watts, Debra; Shrestha, Shristi R Subject: Injection permit WI0800458 All, We are scheduled to start the next round of the injections under this permit beginning August 4, 2016. This will be the 2' injection event under this permit. The third and final will take place in September. Please let me know if there are any questions. Thank you, Benjamin Grosser, P.G. Assistant Project Manager Rhea Engineers & Consultants, Inc. 314 N. Green Meadows Drive Suite 100 Wilmington, NC 28405 P: 910-350-3156 F: 910-350-2987 Cell: 910-650-9677 Please visit our updated web pages at www.rhea.us! 51 RHEA e4 1I: 1':.11I1C1.-'I; ik'iS Fii.[,1. [IR::rJII,:il :r:e;[L3irit.' 1l�.c1�1!`tcl�;i[.I i7.'Lyn�'�`, i' Pi: -lies?c:d :[Kl[i ir.�ill[c[`'t:,��, :IO.L[ ;I11: if l�=c- li:�[I,-{ill;^�.,L i Clill[t :. ►s 1{1' 1! I rat:l!ti�s . it �U[i '!'[' I`cli ;:l' ti�'i I�+!h11's:ili►' iiti5 W> I5:1'1 [nil: id t rei it ki{il, it S A left iii , tII��L'1"1' �11t5';_ d{Nir ibLltdl':1_ rL'4F'.l:iti_si,iilifL_ ['. yx: 1'u E:'sl,:l; S!l�t�.i1 -_ '1r C ;k l";L! 1P?jici`!. :'ve:vv4i :llld or l t>'liiai this f lij:i j i,l Cr![' • j1Ic:L i [it'i[:'ti ,ilk wt!lu� V [xirlk'til„ I�..l t: tit:}E L' :1,1d ill lLt ti. •/I + r171'.ti hi i[ :.[Hell. 1-1}y1i14:_'C'f• I,i1'.;i! 4‘1 10.' 4.1! arNit1,LL 0'01T1 the .:14•6„ImIt•,►[s. 1 INJECTION EVENT RECORD North Carolina Department of Environment and Natural Resources - Division of Water Resources Permit_Number q l 3:Q 7 Permit tlaformation 3 4.1b n Permittee For rn`e,.-• E i'4LC,.a r Facility Name 29a3 W ck Pr,) 5►. Facility Address S esvcliz 'AL 280677 2, Injection Contractor Information Injection Contractor 1 Company Name Street Address ict, 2.. City State Zip Code (33b) R, Area code- Phone number Well information Number of welts used for injection _ Well names ti - I t U E - 2_ Were any new wells installed during this injection event? ❑Yes I, No If yes, please provide the following information: Number of Monitoring Welts Number of Injection Wells Type of Well Installed (Check applicable type): ❑ Bored ❑ Drilled ❑ Direct -rush. ❑ Hand -Augured ❑ Other (specify) Please include a copy of the GW-1 form for each welt installed Were any wells abandoned daring this injection event? ❑Yes ®No If yes, please provide the following information: Number of Monitoring Wells Number- of injection Wells_ Please include a copy of the GW-30 for each well abandoned. 4. Injectant information Injec :ant Type Concentration t to,�; J\ If the injeetant is diluted please indicate the source 'dilution fluid. Total Volume Injected �./ 3 t.� Volume Injected per well { 1 I t7 D Gtt b:Z cejaic 5. Injection History Injection date(s) ��� rr j — ] gp ZOL Injection number (e.g. 3 of 5) . 1s this the last injection at this site? ❑ Yes No I DO HEREBY CERTIFY THAT ALL THE INFORMATION ON THIS FORM IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THAT THE INJECTION WAS PERFORMED WITHIN THE STANDARDS LAID OUTHE PERMIT. --)1A //6 SI TURF /IF W JEC IO }:ONTRACTOit DATE PUNT NAME OF PERSON Pfifl'ORMINti THE INJECTION Submit the original of this form to the Division of Water Resources within 30 days of injection. Atm LAC Program, 1636 Mail Service Center, Raleigh, NC 27699-1636, Phone No. 919-807-6464 Form UlC-IER Rev. a/5/2013 INJECTION EVENT RECORD North Carolina Department of Environment and Natural Resources - Division of Water Resources Permit_Number it I3,0 02 7 1. Permit Information 3 4., 6 n Permittee FlOf 1� Facility Name 2- di l a 31A&s#: Fro _St Facility Address }mo 5 f li Nit_ 2...Y677 2. Injection Contractor information Injection Contractor! Company Name Street Address 1 t t 2- �r•�.a.u�slaa rx+ City lG 274 State Zip Code (336) Zg2- 3S Area code -- Phone number 3. Well Information Number of wells used for injection Well names r -1 tili - 2_. Were any new wells installed during this injection event? ❑ Yes 12 No If yes, please provide the following information; Number of Monitoring Wells Number of Injection Wells Type of Well Installed (Check applicable type): ❑ Bored ❑ Drilled ❑ Direct -Push ❑ Hand -Augured ❑ Other (specify] ' A. Please include a copy of the GW-1 form for each well installed Were any wells abandoned during this injection event? ❑ Yes ® No If yes, please provide the following inforrnation; Number of Monitoring Wells _ Number of injection Wells Please include a copy of the GW-30 for each well abandoned. 4. injectant Information .A - lnjeciant Type Concentration A 10.^043; e. r If the injeclnnt is diluted please indicate the source dilution fluid. Total Volume Injected _Z 2, 200 Volume Injected per well i 1, 1 6 C7 5. Injection History Injection dates)Igo 2-al-- Injection number (e.g. 3 of 5)_ is this the last injection at this site? ❑ Yes fg No i DO HEREBY CERTIFY THAT ALL THE INFORMATION ON THIS FORM iS CORRECT TO THE BEST OF MY KNOWLEDGE AND THAT THE INJECTION WAS PERFORMED WITHIN THE STANDARDS LAID Ol_r N THE PERMIT. TURF -OF INJEC lO ONTRACTOR DA11; PRKV NAME OF PERSON PEAf-ORiv11NG THE INJECTION Submit the original of this form to the Division of Water Resources within 30 days of injection, Attn: UEC Program, 1636 Mail Service Canter, Raleigh, NC 2'7699-1636, Phone No. 919-807-6464 Form [J1C-IER Rev. 8/5/2013 Permit Number Program Category Deemed Ground Water Permit Type WI0800458 Injection Deemed In-situ Groundwater Remediation Well Primary Reviewer shristi.shrestha Coastal SWRule Permitted Flow Facility Facility Name Hadnot Point Fuel Farm Location Address Gibb And Ash Streets - 190 Feet NE Of Intersection Camp Lejeune NC Owner Owner Name John Dates/Events Orig Issue 5/11/2016 R App Received 5/3/2016 Regulated Activities Groundwater remediation Outfall Waterbody Name 28542 Townson Draft Initiated Scheduled Issuance Public Notice Central Files : APS SWP 5/11/2016 Permit Tracking Slip Status Active Version 1.00 Project Type New Project Permit Classification Individual Permit Contact Affiliation Major/Minor Minor Region Wilmington County Onslow Facility Contact Affiliation Thomas Burton IE Emd Eqb Camp Lejeune Owner Type Individual Owner Affiliation John R. Townson PS C 20004 Camp Lejeune Issue 5/11/2016 Effective 5/11/2016 NC NC 28542000• 28542000 Expiration Requested /Rece ived Events Streamlndex Number Current Class Subbasin Shrestha,. Shristi R From: Sent: To: Cc: Subject: Shrestha, Shristi R Wednesday, May 11, 2016 11:12 AM 'Reed CIV Jenni P' Hall CTR Nicole L; 'Ben Grosser'; Hunter CIV Bradley W; Gregson, Jim; King, Morella s; Rogers, Michael WI0800458 NOI RE: MCB Camp Lejeune Notification of Intent to Operate Injection Wells Hadnot Point Fuel Farm Site Thank you for submitting the Notice of Intent to Construct or Operate Injection Wells (NOi) for the above referenced site. Please remember to submit the following regarding this injection activity: 1) Well Construction Records (GW-1) and Abandonment Records (GW-30) when completed. Please provide copies of the GW-1s and GW -30s if not already submitted (originals go the address printed on the form). NOTE: Direct push or Geoprobe wells are considered wells and require construction (GW-1) and abandonment forms (GW- 30). If well construction/abandonment information is the same for the wells, only one form needs to be completed- just indicate total number of injection points in the Comments/Remarks section of form. These forms can be found on our website at http://deq.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/ground-water- protection/ground-water-reporting~forms 2) Injection Event Records (IER). All injections, including air and passive systems require an !ER. The IER can be modified for air sparge wells .(e.g., air flow 'continuous' for date or rate of injection, etc.). You can scan and send these forms directly to me at Shristi.shrestha@ncdenr.gov or via regular mail to address below. When submitting the above forms, you will need to enter the nine-digit alpha-numeric number on the form (i.e., WI0XXXXXX) that has been assigned to the injection activity at this site. This notification has been given the deemed permit number WI0800458. This number is also referenced in the subject line of this email. You may if you wish, scan and send back as attachments in reply to this email, as it will already have the assigned deemed permit number in the subject line. Thank you for your cooperation. Shristi Shristi R. Shrestha Hyd rogeologist Water Quality Regional Operations Section Animal Feeding Operations & Groundwater Protection Branch North Carolina Department of Environmental Quality 919 807~6406 office shristi.shrestha@ncdenr.gov 512N. Salisbury Street 1636 Mail Service Center Raleigh, NC 27699 1636 Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. -----Original Message----- Fron 1: i\eed CIV Jenni P [mailto:jenni.reed@usrnc.mil] Sent: Monday, May 02, 2016 1:42 PM To ; Shrestha, Shristi R <shristi.shrestha@ncdenr.gov> Cc: Hall CTR Nicole L <nicole.hall.ctr@usmc.mil>; 'Ben Grosser' <ben@rhea.us>; Hunter CIV Bradley W <bradley.w.hunter@usmc.mil> Subject: MCB Camp Lejeune Notification of Intent to Operate Injection Wells Hadnot Point Fuel Farm Site Shristi, Please see attached NOi for Hadnot Point Fuel Farm Remediation System. Please let us know if you require additional information. Thanks, Jenni P. Reed Environmental Management Division Marine Corps Base, Camp Lejeune Phone: 910-451-9017 Fax: 910-451-5997 e-maii: jenni.reed@usmc.mil Shrestha, Shristi R From: Sent: To: Cc: Subject: Attachments: Please find the attached NOi. Shristi Shristi R. Shrestha Hydrogeologist Shrestha, Shristi R Wednesday, May 11, 2016 11:10 AM Gregson, Jim; King, Morella s , Rogers, Michael WI0800458 NOi FW: MCB Camp Lejeune Notification of Intent to Operate Injection Wells Hadnot Point Fuel Far_m Site HPFF Bioremediation Pilot Test Permit.pdf Water Quality Regional Operations Section Animal Feeding Operations & Groundwater Protection Branch North Carolina Department of Environmental Quality 919 807-6406 office shristi.shrestha@ncdenr.gov 512N . Salisbury Street 1636 Mail Service Center Raleigh, NC 27699 1636 Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. -----Original Message----- From: Reed CIV JenniP[mailto:jenni.reed@usmc:mil] Sent: Monday, May 02, 2016 1:42 PM To: Shrestha, Shristi R <shristi.shrestha@ncdenr.gov> Cc: Hall CTR Nicole L <nicole.hall.ctr@usmc.mil>; 'Ben Grosser' <ben@rhea.us>; Hunter CIV Bradley W <bradley.w.hunter@usmc.mil> Subject: MCB Camp Lejeune Notification of Intent to Operate Injection Wells Hadnot Point Fuel Farm Site Shristi, Please see attached NOi for Hadnot Point Fuel Farm Remediation-System. Please let us know if you require additional information. Thanks, Jenni P. Reed Environmental Management Division Phone: 910-451-9017 Fax : 910-451-5997 • e-mail: jenni.reed@usmc.mil NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES NOTIFICATION OF INTENT TO CONSTRUCT OR OPERATE INJECTION WELLS T/1efollowing are ''permitted by rule" and do 1101 req11/re an i11divid11al permit when constrm:ted 111 accordance ,viii, tl,e r11/es of I 5,t NCAC 02C .02()0. T/1is fo rm sl,a/1 be submilled al least 1 weeks prit1r to il1 iecti,m. AQUIFER TEST WELLS m -\ ::S-Ci\C. 02c .0220) These wells are used to inject uncontaminated fluid into an aquifer to detennine aquifer hydraulic characteristics. IN SITU REMEDIATION (15A SCAC O?C .o?:Z.5) or TRACER WELLS tl!I \ NC ,\C P2C .0229): 1) Passive In jection Svstems -In-well delivery systems to diffuse injectants into the subsurface. Examples include ORC socks, iSOC systems, and other gas infusion methods . 2) SmaH-Scale Injection Operations -Injection wells located within a land surface area not to exceed l0,000 square feet for the purpose of soil or groundwater remediation or tracer tests. An individual permit shall be required for test or treatment areas exceeding I0,000 square feet. 3) Pilot Tests -Preliminary studies conducted for the purpose of evaluating the technical feasibility of a remediation strategy in order to develop a full scale remediation plan for future implementation, and where the surface area of the injection zone wells are located within an area that does not exceed five percent of the land surface above the known extent of groundwater contamination. An individual permit shall be required to conduct more than one pilot test on any separate groundwater contaminant plume. 4) Air In jection Wells -Used to inject ambient air to enhance in-situ treatment of soil or groundwater. Prilll Clearly or 1jpe 11,Jormation. Illegible Submittals Will Be Ret11rned As /11complete. DATE: April 27 , 2016_~-PERMIT NO. V\j.J.__O8O0 'fSg (tobefilledinbyDWR} A. WELL TYPE TO BE CONSTRUCTED OR OPERA TED (I) (2) (3) (4) (5) (6) _____ Air Injection Well ...................................... Complete sections 8-F, K, N ___ Aquifer Test Well ....................................... Complete sections B-F, K, N ___ Passive Injection System ............................... Complete sections B-F, H-N ___ Small-Scale Injection Operation ...................... Complete sections B-N __ x _____ Pilot Test ................................................. Complete sections 8-N ___ Tracer Injection Well ................................... Complete sections B-N B. STATUS OF WELL OWNER: Federal Government C. WELL OWNER -State name of entity !!!lli name of person delegated authority to sign on behalf of the business or agency: Name: MCB Cam p Le jeune , Environmental Mana gement Di vision , Attn: Jenni Reed Mailing Address: 12 Post Lane City: MCB Cam p Le jeune State: _NC_~ Zip Code: 28542 County:-=O=n=s=lo=w.__ __ Day Tele No.: 910-4 51 -90 17 Cell No.: _________ _ EMAIL Address: jenni.reedf@usmc.mil Fax No.: __________ _ UICl/n Situ Rcmed. Notification (Revised 3/2/2015) Page I D. PROPERTY OWNER (if different than well owner) Name: Same as above Mailing Address:-------------------------------- City: ____________ State: _ Zip Code: _______ County: _____ _ Day Tele No.: ___________ _ Cell No.: _________ _ EMAIL Address: _____________ _ Fax No.: __________ _ E. PROJECT CONT ACT -Person who can answer technical questions about the proposed injection project. Name: Ben Grosser, Rhea En gineers and Consultan ts. Inc. Mailing Address: __ __,_3.._14.....,_N..,, _.G ... re""e""'n_,M-=ea.._d""'o.._w_s_,D""r._iv_e~,_.,S=te'-""I O""O...._ ______________ _ City: Wilmin gt on State: NC Zip Code:28405 County: New Hannove r DayTeleNo.: 910-350-3156 CellNo.: 910-650-9677 EMAIL Address: benlalrhea.us Fax No.: __________ _ F. PHYSICAL LOCATION OF WELL SITE (I) Physical Address: __ _.H..,,a,,,,d..,_,ne><,ot..,P,._,o"""i""nt....,F:...:u:.:e.,_I F,._,a=.,.nn.,,,,,,,., ...,ln.,,,,c""id""e""'nt,._#_,s'""3<-"6:...7..,_l..._l,.,0""'6c.:.45"",...:an=d-=2::2..:...:78"'°8,...._ ___ _ _____________________________ County:_o-n_s-lo-w,._ __ _ City: MCB Cam p Le jeune State: NC Zip Code: _2 ... 8;:..54""2=----- (2) Geographic Coordinates: Latitude••: -34~_0 AQ__' 17.69_"or __ 0. _______ _ Longitude**: ..,.77 ___ 0 _1_9 _' 54 130." or __ 0. _______ _ Reference Datum: Accuracy: _______ _ Method of Collection: _________________ _ .. FOR AIR INJE( llON AND AQUIFER TEST WELLS ONLY: A FACILITY SITE MAP WITH PROPERTY BOUNDARIES MAY BE SUBMITTED IN LIEU OF GEOGRAPHIC COORDINATES. G. TREATMENT AREA Land surface area of contaminant plume: app roximatel y 1,066 ,000 square feet Land surface area of inj. well network: see below (:S I 0,000 ft.2 for small-scale injections) Percent of contaminant plume area to be treated: 9 monitorin g wells . unknown radius of influence . note that the total surface area of the well s covers 264 ,000 square feet. However , this pilot test is to determine if the in jection materials can be used site wide. These 9 wells re present small scale pocket of contamination (hot spots ) so the actual area of the pJume to be treated js much small er tha n the land surface area of the in jection well network would app ear, (must be~ 5% of plume for pilot test injections) H. INJECTION ZONE MAPS-Attach the following to the notification. ( I) Contaminant plume map(s) with isoconcentration lines that show the horizontal extent of the contaminant plume in soil and groundwater, existing and proposed monitoring wells, and existing and proposed injection wells; and (2) Cross-section(s) to the known or projected depth of contamination that show the horizontal and vertical extent of the contaminant plume in soil and groundwater, changes in lithology, existing and proposed monitoring wells, and existing and proposed injection wells. (3) Potentiometric surface map(s) indicating the rate and direction of groundwater movement, plus existing and proposed wells. l 11C//n Situ Remcd. Notifii;ation {Revi~d 3.'2/2015) Pagc2 I. DESCRIPTION OF PROPOSED INJECTION ACTIVITIES -Provide a brief narrative regarding the purpose, scope, and goals of the proposed injection activity. This should include the rate, volume, and duration of injection over time . Ibis pilot test is pro jected to occur over 3 months with the bulk of the in jected media to occur over one month. Ea ch of the nine pro posed monitorin g/in jection wells will receive a total of app ro ximatel y 222 pounds ofCBN mixture with a pp roximatel y 444 gallons of water followed by a 5% solution of petrobas: and water (50 gaU ons of mixture to be injected per well. Additionall y, to stimulate the injected media . IO existin g air spar ge wells ad jacent to the pro posed in jection wells are proposed to receive 60 gallons of petrobac and water mixture {5% solution ). Followin g th e initial round of in jections , each month thereafter fo r two months additional injections will occur at justthe nine monitorin g we ll s. These in jections will consist of 55 pounds of CBN wjt h 166 gallons of water followed by 29 gallons of petrobac and water mix (5% so lu tion}. Durin g the three month pilot te st a total of. 3,000 pounds of C BN and 75 gallons of Petrobac will be in jected to sti mulate natural bioremediation in the pro posed monitorin g/in jection wells. Each in jection eve nt is antici pated to take one to two weeks. Note, cross sections are from the Remedial Action Optimization ·& Revised Corrective Action Plan for the site . pre pared by Catlin En gineers and Scientists in Se ptember 2010, J. INJECT ANTS-Provide a MSDS and the following for each injectant. Attach additional sheets if necessary. NOTE: Approved iryectants (tracers and remediation additives) can be found online at lmp;llppr«JLlJ..cdenr.o,:;g/web, \ralap.~.:·gwpro. All other substances must he reviewed by the Division of Public Healtli, Department of Health and Human Services. Contact the UIC Program/or more info (919-807-6./96). Injectant: ~~N.:., ______________________ _ Volume of injectant: :.3.,,,0""0.,.,0,..p'""o,..un...,d==s'------------- Concentration at point of injection . .:..: ..::5~%~o ____________________ _ Percent ifin a mixture with other injectants: ___________________ _ lnjectant: Petrobac (EZT-A 2 and EZT~EA} Volume ofinjectant: ---'7""'S'"'g.,.a.,,.U..,.o..,.ns..._ _____________________ _ Concentration al point of injection: _5°_1/o_. ____________________ _ Percent ifin a mixture with other injectants: _____________________ _ K. WELL CONSTRUCTION DATA (I) Number of injection wells: 0 Proposed 9 monitorin g/ 10 air spar ge Existing (2) Provide well construction details for each injection well in a diagram or table fonnat. A single diagram or line in a table can be used for multiple wells with the same construction details. Well construction details shall include the following: (a) well type as permanent, direct-push, or subsurface distribution system (infiltration gallery) (b) depth below land surface of grout, screen, and casing intervals (c) well contractor name and certification number UJCl/n Situ Rcmed . Notllkatlon (Revised Jrl/201S) Pagc3 L. SCHEDULES — Briefly describe the schedule for well construction and injection activities. Each injection event is scheduled to take one Io two weeks per event over a three month period M. MONITORING PLAN — Describe below or in separate attachment a monitoring plan to be used to determine if violations of groundwater quality standards specified in Subchapter 421, result from the injection activity. Groundwater sampling_ at the Propose¢ nine monitorininiection wells for VOCs usine United States Environmental protection AGenC\'_,(U51 PA) Method 8260 is scheduled to occ{r is Jiffy 2016 to track Pilot test performance and verify that no NCAC 2L GWOS were violated duringthe niloi test. N. SICNATURE OF APPLICANT AND PROPERTY OWNER APPLICANT: "1 hereby certify, under penalty of lcnr, that 1 am familiar with the information submitted in this document and all attachments thereto and that, based on my inquiry of those individuals in►ntediately responsible for obtaining said information, 1 believe that the information is true, accurate and complete, 1 am aware that there are significant penalties, including the possibility of frees and imprisonment, for submitting false information, I agree to construct, operate, maintain, repair, and if applicable, abandon the injection well and all related appur a►rces in accordance with the 1 t1 NC.4C 02C 0200 Rules." ii O.i tN- L ► �trGt ' G 60441 4� Sig re of Applicant Print or Type Full game PROPERTY OWNER (if the property is_not-swned by the permit applicant): "As owner of the property on wvhiclr the injection well(s) are to be constructed and operated, I hereby consent to allow the applicant to construct each irzjectiori well as outlined in this application and agree that it shall he the responsibility of the applicant to ensure that the injection well(s) conform to rite Well Construction Standards f J1_4JLC C li2C-02011), " "Owner" means any person who holds the fee or other property rights in the well being constructed. A well is real property and its construction on land shall be deemed to vest ownership in the land owner. in the absence of contrary agreement in writing. Signature' of Property Owner (if different from applicant) Print or Type Full Name An access agreement between the applicant and property owner may be submitted in lieu of a signature on :his form. Submit the completed notification package to: DWR — UIC Program 1636 Mail Service Center Raleigh, NC 27699• 1636 Telephone: (919) 807-6464 l'[Clrn Sirre Remed. Notification i Revised 3/212015) Page 4 Figures Shrestha. Shristi R From: Shrestha, Shristi R Sent: Thursday, June 09, 2016 12:31 PM To: 'Reed ©v Jenni P'; 'Ben Grosser` Cc Rogers, Michael; Gregson, Jim; King, Morella s Subject: Wi0800465 NOI Hadnot Fuel Farm -MCB Camp Lejeune Thank you for submitting the Notice of Intent to Construct or Operate Injection Wells (NOI) for the above referenced site. Please remember to submit the following regarding this injection activity: 1) Well Construction Records (GW-1) and Abandonment Records (GW-30) when completed. Please provide copies of the GW-1 s and GW-30s if not already submitted (originals go the address printed on the form). NOTE: Direct push or Geoprobe wells are considered wells and require construction (GW-1) and abandonment forms (GW-30). If well construction/abandonment information is the same for the wells, only one form needs to be completed- just indicate total number of injection points in the Comments/Remarks section of form. These forms can be found on our website at httil:/ldeo.nc._ovlabout/divisions/water-resourceslwater-resources-hermits/wastewater-branch/w ound-water- tarotectionN round-water-reportinu-forms 2) Injection Event Records (IER). All injections, including air and passive systems require an IER. The 1ER can be modified for air sparge wells (e.g., air flow `continuous' for date or rate of injection, etc.). You can scan and send these forms directly to me at Shristi.shrestha a ncdenr. Lov or via regular mail to address below. When submitting the above forms, you will need to enter the nine -digit alpha -numeric number on the form (i.e., WIO)0000C.X) that has been assigned to the injection activity at this site. This notification has been given the deemed permit number WI0800465. This number is also referenced in the subject line of this email. You may if you wish, scan and send back as attachments in reply to this email, as it will already have the assigned deemed permit number in the subject line. Thank you for your cooperation. Shristi Shristi R. Shrestha Hydrogeologist Water Quality Regional Operations Section Animal Feeding Operations & Groundwater Protection Branch North Carolina Department of Environmental Quality 919 B07-6406 office sh risti .shrestha' L ncdenr.00v 512N. Salisbury Street 1636 Mail Service Center Raleigh, NC 27699 1636 _<' Nc tliiing Com 3res Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. Shrestha, Shristi R From: Shrestha, Shristi R Sent: Thursday, June 09, 2016 12:32 PM To: Gregson, Jim; King, Morella s Cc: Rogers, Michael Subject: WI0800465 NOI Hadnot Fuel Farm - MCB Camp Lejeune Attachments: W10800465 NOI Hadnot Fuel Fare} -MC6 Camp Lejeune.pdf Please find the attached NOI. Shristi Shristi R. Shrestha Hydrogeolagist Water Quality Regional Operations Section Animal Feeding Operations & Groundwater Protection Branch North Carolina Department of Environmental Quality 919 807-6406 office shristi.shrestha. iiL ncden r.Gov 512N. Salisbury Street 1636 Mail Service Center Raleigh, NC 27699 1636 plz �N�thing Compares a Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES NOTIFICATION OF INTENT TO CONSTRUCT OR OPERATE INJECTION WELLS The following are "permitted by rule" and do not require an individual permit when constructed in accordance with the rules of 15A NCAC 02C .0200. This form shall be submitted at least 2 weeks prior to injection. AQUIFER TEST WELLS (15A NCAC 02C .0220 ) These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics. IN SITU REMEDIATION C15A NCAC 02c .0225) or TRACER WELLS ClSA NCAC 02C .0229 ): 1) Passive Injection S ystems -In-well delivery systems to diffuse injectants into the subsurface. Examples include ORC socks, iSOC systems, and other gas infusion methods. 2) Small-Scale Injection O perations -Injection wells located within a land surface area not to exceed 10,000 square feet for the purpose of soil or groundwater remediation or tracer tests. An individual permit shall be required for test or treatment areas exceeding 10,000 square feet. 3) Pilot Tests -Preliminary studies conducted for the purpose of evaluating the technical feasibility of a remediation strategy in order to develop a full scale remediation plan for future implementation, and where the surface area of the injection zone wells are located within an area that does not exceed five percent of the land surface above the known extent of groundwater contamination. An individual permit shall be required to conduct more than one pilot test on any separate groundwater contaminant plume. 4) Air Injection Wells -Used to inject ambient air to enhance in-situ treatment of soil or groundwater. Print Clearly or Type Information. Illegible Submittals Will Be Returned As Incomplete. DATE: April 27, 2016_ PERMIT NO. 1/.J.0 g ~ Z, lf±5(to be filled in by DWR) lf5t A. WELL TYPE TO BE CONSTRUCTED OR OPERATED B. (1) (2) (3) (4) (5) (6) --~Air Injection Well ...................................... Complete sections B-F, K, N ___ .Aquifer Test Well.. ..................................... Complete sections B-F, K, N ___ Passive Injection System ............................... Complete sections B-F, H-N ___ Small-Scale Injection Operation ...................... Complete sections B-N _X ___ Pilot Test ................................................. Complete sections E\VEDINCOEQ/DWR ___ Tracer Injection Well ................................... Complete sections B-N JUN O 8 2016 STATUS OF WELL OWNER: Federal Government Water Quality Regional Operations Section C. WELL OWNER -State name of entity and name of person delegated authority to sign on behalf of the business or agency: Name: MCB Cam p Le jeune , Environmental Management Division, Attn: Jenni Reed Mailing Address: ___ 1_2_P_o_s_t _L_an_e _________________________ _ City: _M_C_B_C_a_m~p _L_e-je_un_e _____ State: _NC_ Zip Code: 28542 County:~O~n=s=lo~w~-- Day Tele No.: 910-451-9017 Cell No.: EMAIL Address: jenni.reed@usmc.mil Fax No.: VIC/In Situ Remed. Notification (Revised 3/2/2015) Page 1 D. PROPERTY OWNER (if different than well owner) Name: Same as above Mailing Address:--------------------------------- City: _____________ State: __ Zip Code: _______ County: _____ _ Day Tele No.: ____________ _ Cell No.: __________ _ EMAIL Address: _____________ _ FaxNo.: ___________ _ E. PROJECT CONT ACT -Person who can answer technical questions about the proposed injection project. Name: Ben Grosser, Rhea Engineers and Consultants . Inc. Mailing Address: --~3~1~4 ~N~-~G=r~ee=n~M~e=ad=o~w~s~D~ri~ve~S~te~10~0~--------------- City: Wilmington Day Tele No.: 910-350-3156 State: _NC_Zip Code:28405 County: New Hannover Cell No.: 910-650-9677 EMAIL Address: ___ b=e=n=@ .. z.=rh=e=a=.u=s _______ _ FaxNo.: ___________ _ F. PHYSICAL LOCATION OF WELL SITE (1) Physical Address: --~H=ad=n=o=t-"-P-=-o=in=t ..._F=ue=l'-"F_..a=rm"""'-. =In=c=id=e=n.a..t #""s"'"3""6...,7_.l_,_, ..._10'"'6"-4=5.,_, =an=d=2=2=7'-"'8=8'-------- ______________________________ County:~O~n=s~lo~w ___ _ City: MCB Cam p Lejeune State: NC Zip Code: _2_85_4_2 ___ _ (2) Geographic Coordinates: Latitude**: _34 ___ 0 _1Q___' 17.69 _" or 0 Longitude**: ~77~ __ 0 _1_9 __ , 54.30 "or 0 Reference Datum: Accuracy: ________ _ Method of Collection: _________________ _ * *FOR AIR INJECTION AND AQUIFER TEST WELLS ONLY: A FACILITY SITE MAP WITH PROPERTY BOUNDARIES MAY BE SUBMITTED IN LIEU OF GEOGRAPHIC COORDINATES. G. TREATMENT AREA Land surface area of contaminant plume: a pp roximately 1,066 .000 square feet Land surface area ofinj. well network: see below ts_ 10,000 ft2 for small-scale injections) Percent of contaminant plume area to be treated: 9 monitoring wells . unknown radius of influence. note that the total surface area of the wells covers 264 .000 s quare feet. However. this pilot test is to determine if the in jection materials can be used site wide. These 9 wells re present small scale pocket of contamination (hot s pots ) so the actual area of the plume to be treated is much smaller than the land surface area of the in jection well network would a pp ear. (must be::: 5% of plume for pilot test injections) H. INJECTION ZONE MAPS -Attach the following to the notification. (1) Contaminant plume map(s) with isoconcentration lines that show the horizontal extent of the contaminant plume in soil and groundwater, existing and proposed monitoring wells, and existing and proposed injection wells; and (2) Cross-section(s) to the known or projected depth of contamination that show the horizontal and vertical extent of the contaminant plume in soil and groundwater, changes in lithology, existing and proposed· monitoring wells, and existing and proposed injection wells. (3) Potentiometric surface map(s) indicating the rate and direction of groundwater movement, plus existing and proposed wells. UIC/ln Situ Remed. Notification (Revised 3/2/2015) Page2 I. DESCRIPTION OF PROPOSED INJECTION ACTIVITIES -Provide a brief narrative regarding the purpose, scope, and goals of the proposed injection activity. This should include the rate, volume, and duration of injection over time. This pilot test is pro jected to occur over 3 months with the bulk of the in jected media to occur over one month. Each of the nine pro posed monitoring/in jection wells will receive a total of a pp roximately 222 p ounds ofCBN mixture with a pproximatelv 444 ttallons of water followed by a 5% solution of petrobac and water (50 e allons of mixture to be in jected per well. Additionally. to stimulate the in jected media . 10 existing air s parg,e wells ad jacent to the pro posed in jection wells are pro posed to receive 60 gallons of petrobac and water mixture (5% solution). Following the initial round of in jections. each month thereafter for two months additional in jections will occur at just the nine monitoring wells. These in jections will consist of 55 pounds of CBN with 166 f!allons of water followed by 29 e allons of petrobac and water mix (5% solution). During the three month pilot test a total of 3 ,000 pounds of CBN and 75 gallons of Petrobac will be in jected to stimulate natural bioremediation in the pro posed monitorinu-/iniection wells. Each in jection event is antici pated to take one to two weeks. Note. cross sections are from the Remedial Action O ptimization & Revised Corrective Action Plan for the site . pre pa red b Catlin En gineers and Sc ien t ist s in Sept emb er 2 010 . J. INJECT ANTS -Provide a MSDS and the following for each injectant. Attach additional sheets if necessary. NOTE: Approved iryectants (tracers and remediation additives) can be found online at http://portal.ncdenr.org/weblwqlaps/gwpro. All other substances must be reviewed by the Division of Public Health, Department of Health and Human Services. Contact the UIC Program for more info (919-807-6496). lnjectant: ..::cC=B=N---=--------------------------- Volume of injectant: ~3~,0~0~0~p~o_u_n_d_s ___________ _ Concentration at point of injection . .,_: -=5'-'o/i-"o ______________________ _ Percent if in a mixture with other injectants: ____________________ _ Injectant: Petrobac (EZT-A2 and EZT-EA) Volume of injectant: __ 7,_,_5c:....e,ga"-'l"'°lo""n""s _______________________ _ Concentration at point of injection: ~5°~1/o~---------------------- Percent if in a mixture with other injectants: ____________________ _ K. WELL CONSTRUCTION DATA (1) (2) Number of injection wells: ___ 0 ___ Proposed. ___ 9"--=m""o=n=it...,o:..:.r=ina.agj=-=-1 0"-=a ... ir-=s"'p-=ar:.:e.,.e'--_~Existing Provide well construction details for each injection well in a diagram or table format. A single diagram or line in a table can be used for multiple wells with the same construction details. Well construction details shall include the following: (a) well type as permanent, direct-push, or subsurface distribution system (infiltration gallery) (b) depth below land surface of grout, screen, and casing intervals ( c) well contractor name and certification number UIC/Jn Situ Remed. Notification (Revised 3/2/2015) Page 3 L. SCHEDULES— Briefly describe the schedule for well construction and injection activities. Each injection event is scheduled to take one to two weeks per event over a three month period M. MONITORING PLAN — Describe below or in separate attachment a monitoring plan to be used to determine if violations of groundwater quality standards specified in Subchapter 02L result from the injection activity. Groundwater sampling at the proposed nine monitoringinjection wells for VOCs usine United States Environmental Protection Aeencv (USEPA) Method 8260 is scheduled to occur in ]u1v__7016 to track Iiilot test performance and verify that no NCAC 2L GWQS were violated durine the pilot test. N. SIGNATURE OF APPLICANT AND PROPERTY OWNER APPLICANT: ".I hereby certify, under penalty of law, that I am familiar liPith the information submitted in this document and all attachments thereto and that, based on my inquiry of those individuals immediately responsible for obtaining said information, 1 believe that the information is true. accurate and complete. I am aware that there are significant penalties, including the possibility of fines and imprisonment, for submitting false information. I agree to construct, operate, maintain, repair, and if applicable, abandon the injection well and a. related appurt • antes in accordance with the 1 i4C.1C WC 020�0 Rules." JQ• � CL I WG4 f;toti o� Sig re of Applic at Print or Type Full Name PROPERTY OWNER jif the property is not owned by the permit applicant): "As owner of the property on which the injection well(s) are to be constructed and operated, I hereby consent to allow the applicant to construct each injection weII as outlined in this application and agree that it shall be the responsibility of the applicant to ensure that the injection well(s) conform ro the Well Construction Standards (15A NCAC 02C.D2O+'_'1. " "Owner" means any person who holds the fee or other property rights in the well being constructed. A well is real property and its construction on land shall be deemed to vest ownership in the land owner, in the absence of contrary agreement in writing_ Signature* of Property Owner (if different from applicant) Print or Type Full Name * An access agreement between the applicant and property owner may be submitted in lieu of a signature on this form. Submit the completed notification package to: DWR — UIC Program 1636 Mail Service Center Raleigh, NC 27699-1636 Telephone: (919) 807-6464 1IC/In Sine Rem ed. Notification (Revised 312/20l5) Page 4 Figures 11 THP US/F USFIII5-MW17 PR7dGw19 /�115T Ty 153[ 06 �0 A.P�u1Wi yy - `�1I5T1115GT-MW08 USrIIWOS 1 way Milli540 5 `f r' uST1115GT-MwO-MW04 4' ,-r•win ST1115-MWOB rG 7UST1115.1u1W] *FIST1115G7-MV�Ail115=1iAW.' 34)ISi 111.5.4 W W % �IVV50 U . 5-MV135 1U �"":6111 I5-MW05 I15 1115+0614 / r' / 1108 Building 111 /usrlrt UST7113,,AS STHPFFC-MW 105 USTHPFFC-M UST111 a)iSTHPFFC-MW//gggg 1�U'�7FsPFFGMW01 rPFFGMWS?-7R USTHPFFC-frM P ;,' 4.1W 104 USTI-PM-MWA \,r 1• an 1 -RWg4 - - Q r • ou : - iRu.S1HPFF Z•16 s'r..e *UST r �@F STkjPPFC-MxOd J.- AC3. 9! vv JSTHPFFC tihw L � J r iF , : :23 { " HPT v- W9d d' *LIST \ VSTHPFFC-i+dW! IASTIjMiFC-MW22 1,T� s ! THPt•F4`. W24 �( -�U� •MWF f C :s: ♦ s1 1HPFF-MW16 �SJ��• J s' • THPFFGM1H h: v +r-xr USiHPFF B9 �i ail` HP • '' 5-MW19 � �VSrH f7- wl0 FPFF' 7` W74 "'UiTHPFFC-MWdO - , Lf FF VJ91 /j/ ,: / ` • �USTHP r r.2�_ s-ax1 *UST14 M s1rIP ', Mw791 yJ uSTH . Gila r ii .. FFC-I�wOB �aUS . :7 15-MW01 `. as .r � ..r Uyf1�7. AN" - �/ rti� !} •>QI "„ sr sou HP. ,4. ;: 9 k-GW22{�i•}� - ,� r �� Building ] 101 Blum w s USTHPFT-M++�1Y/=-'1 1PFF RNIa+ sa \ F ,- USTH MW29 {i Rf \ / ♦ ^---MW78 USTHPFFC�AW6d z° r . fiq `THPFFC-M'.VAP \iousrfx1 USTHPP -MW82 USTHP FFC-A PUSTHPiF•MW}$ ♦ I t'Y ff a` UST - - avi USTHPFF-MWed 1 PFFC•s STHPFFM • A1a161"P-MW07 PC-M / �� 4 ►l!$T1 x1• STHPFIti'�iW.3 . '„� USTHPFFC-MW80 , PCWEd PC1F{CEn$ ■ �ti i0i-M s.. sass "" $USTNPFF-RW02 jpf .,. '■f '� .\ I27 W32,02 i.•' .�� {JSTHPFiC-MkV .i� _. • t� / J O �J5T- -FF�99 )41, • •a - NPUTC•MW91 TITUST10U5-MW03 . USi FFC-MW6211t J rR. • r j/ (� 7$.G m . - PFFC-MW ' u UST1C05-M,K5 `' 'so f . - :• -M9437 4ry01 / 1 " // • USTHP • MOM US PFFf:"+�t '0 UST100 •IY ' VU W7p f \ / 4F- • '71I• USTHPFFGMW37 J ▪ g1R7tl•G1M17-01 ` HPFFC'. ' d■_ l . \./ r ))) J/JJJJ 4-Mw4 yp`' I \ TWVr 4s HUPSFfTH!rPr 0 4241uA4W72 likr p1 -;USTHPf -NFMWIS ar , 4U ; i5USTH -MFi 7mU•::1•A. '" !fP 9USTHP 1 IIIVHPFF1W.lU1l .•6 P\ Q i \ 1 ' / +NI41USIHPF 00 / ▪ ` / waand ¢ hallow Monitoring Wells A Riosparga Well (90 If) H Iniermedrofe Monitoring Welk - Bktsporge I ine - Alr Spurge Line Voporl ine ialR78-luwi6 Buildings ! ! Parking Lot Surface Water • lTacovery Wags ♦ Deep Moniloring Wells - . Air Spurge ISO III 15VE Web 1171 Demoished Siruelure 1 1 Roods u All 1u11 RHEA W69 PFF-7v1w79 4$1fSFHFFFC-MW1Q3 *JSTHPFFC-MNl'102 f .00 FIGURE 5 AS#SVE Eassediotioa Syascm Layo.S SE Compound MC1KAST-MCB CAMLEJ. NC .735.1 +r{.I yIrIZ .01414P!_-M. /01 V THPFF•MW * 87 uSTHP 41M102 23$2 �PFFC _ 22.7-. F/ / ' USTHFFC•M I . v3 F 3a8 L3rHPFFCJrIW" .-• .ti J U3 fC- 2i.83 91 17.63 2096 7 USTHPFF- -!� LM HPFFC•MW92*. r 1 �.• _ P - 2177 S.H UST1115M v47 . HPr7C-Mw1A 7 ''may 051 XL - �' 2189 �lprl prF Ff w19RJ # 1 k$ THPFF-Rwol _ i H PFFC-MH'B6. 17-99 1JST147 OS (� it L f 221 ��':ri / 6.uAHPFfC#Iwrs 2277 usi F+Iw18� 2 HPFFC. P- •idW19 17,i1 JAHPFF.�1w96 1200 I FC4Ir96e C 2121 241-H •' Ii wa1 d UANPFfC .8220? 7 72- .\ �tw221A 573161 #iHV2 SfJ/.I •YAN /J rr VSr H1�FC "115131PH-F4972 \Si HP -, WO u F7,FC-MW9978 � sh VIFC". �1/�1.pFsrti• 7� 229•2aU3FIWS4415.05 B 1.St.IP.. -MW3.l h47-01 //f/ U5 FKT-MW1: r�V 22 • pff • j •• 19 99 .� ! / : ZS * * r l.AApA01 11)23 //•1%P FyF,( IF u5' F W *▪ 7 \ S1 i. 29.41 Ai fv .' PF FAW84 25 # �.. JAHP3 u4131.▪ 16 ury$PFFC Ip1.'-:,. ZA. 1.131 TC •.A / 9A7 0 Llama --_—_, * &hollow Monitcnng 0/e`: ---- 6i : spa rge tine .-- Vapor Line ! j 9udd.ngs Groundwater -Flaw Oieclion * Shok,v Recovery well L7 Ai Spurge [90 Pi, 1 SVE WO = Demobbed Slructu re Surface Wolof — Groundwater Ele volion Contour ■ 8idsporge Wed [&1 It) — Ai Spurge Line 1-1 Porking Lol L J Roods F•G#l.1 Jae �r r✓� Notes: 23,?1 - Groundwater elevuf[on (In feet) -Not al points were used for contouring. 11 w urn Feet 'y110 CONSuL1-E1H N FIGURE 9B Shallow Monitoring Wan Groundwater El ova Liana January 20F6 SE Compound MGR Camp Lejeune, NC Proposed Moellering Wells for Inlet -lions TIS'THPFV-MWO2 LTSTPIPFFC-MLi29 USTHPFF-MW86 USTFIPFFC-MW79 USTHFFF-RWO2 USTHPk'FC MW82 USTHPFFC-MW15 USTHPFFC-MW92 USTHY Rf'•C•M W 19 Ali Spurge Wells Fo be Used For Infections S•21 S•32 S-22 S-36 S-28 S 77 S-24 5-98 S-26 S-40 .41-IR78-GW 1 0 Ie9.ed • Proposed Iryec lion Wells ■ Air 5parge Weis to he Used For Injections • Shallow Moellering Welk • Sholcw Recovery Wells Os-1- ♦UST4PiFC-MW39/ / at1S: -M 4IR78-CW UST I I I5GT--MWl 6 ERUST111544-YJ04.,� USi11plii 1SGT-MWO5 7'' UST1115GT-MW04 ¢1j5111 15-{+Avo9' • AP Spurge Wells I J 9uildings • Ai- Spcsge Expansion Vaults l 1 Gernoished Buildings Alt Spurge line r Roads - - SVE Line 1. Parking Area 44115THRFFC-MM51R ✓d USi -FPFk7k4w95 I1{PFFC-MW97 +d1JA 1115Gs-+4AW \ USII15GT-MW02 r 1, \• BUSrh \fog 1115GT 07N)r - SUTTS w------ R78-Gw3 US 1 1 15P T- 09 U PF64-M}Y7t. LSTPPFC-ry1GJ I L:STrI UST11 I5-MWOS U51111 woa 01-MW03 USN f STHPFFC-MW1 'x BUST PFFC-MWO2 F-MWA -•._. 41PUSTHP FP �FF-RW05 HPF• •- - r #USTHPFFC-MW22 Myy HPFFC�hW94� FHPFFC HPF 564/ i 17 USTHPFFNiW 1 * r�- MW24 LISTHPFFC- 1P 4 - +UST F%G- 25R • -1 •���'tkT l WW2 ,ars 4 O *iUSTHPF 82 Sr.15T S-21 USTHPfF A t� U5 $IISrf eivw,91 q 7 •IJSTHPpFFAW15 n \2 Wales: Shallow lone jC10' bgsl soils area mix 01 sands, Os, and clay filial are inlerlayered and disconlinuous. - Estimated Shaiaw Zone Conlaminalion Plume Above NCAC 2L GWpS 120141 0 100 200 90 USIHP .UST PFFC-MW I04 W+E / ifUSTHptFC-MWOA 4'r THP11C-MW 103 R7B-GSN21� frguirFF-wermi r :A � OUSTHPFF-RWO2 1' ,, •• . PFFC-MW81 F #UST1OO5- O 400 Foot \▪ 40-US3HPFF-MWO /may US Frc- Z-- c- 4 sr \� UST H FC-MW3819 '\4j •''''���t •-l1STHYFPC�IW1 2 HPFLMw1 • • r 405111PfF STHP5f- RHEA 1-:„..111f)ri CQNSULTECH jV r H FIGURE 12 Prepared Injection Wells NCAC EL GWQS MCI EAST-MCH CAMLEJ. NC xrI 1 re Site Cross-Sections APPENDIX C GEOLOGIC CROSS-SECTIONS FROM IDENTIFICATION, CORRELATION AND ASSIMILATION OF ORGANIC SUBSURFACE SOILS REPORT Department of Defense; 210017_HPFF_RAO Final.doc CATLIN Project No. 210017 CATLIN Engineers and Scientists September 2010 (enema zza.2cla L / I iff,ZT R00112 0iiiiI3 r j --SSC.OR stv k113-.01A8 MALCOM 112 rd.1 1116. 51.1.11-11 RGOID YPpr-51 it(iF,11 j co gil*Za&ago.6.1,7„,(4.004---t L,_ ry.,...X.S.IfbarLe.aarl.arda r T.2113T-460,em3._, &BS vrom) 014(17-34 44Prr-33: n '11V 1'31 , 9 • LIST ROAD I L:3=11:1 -6.. wokia warm wi (61115-6 /106:111 t INO 1 Ds" 11 I 1.1:istozi ;70, ' w- „ Pf• 691-91 I 4,14.1.-Po (I) f CD tPismon0) ▪ ; 1118-le t 71.?" I516T-F 1;7•Tgl aem-21. ,C1113:9_„_ 2=t -•-•-••• CD "111: setivr-i 4111-11 DOW ▪ 0130.070d MulfZegi 01.04 FFACE rr.[ gIELI, ▪ T(Pi11SOV MEM onct PI 'KU P11/9 o CMD,(11. gum Ei PIJI .41.L.SK . Al. AO •r- irpr - - tr, CI 0 iFla-TV▪ IWZ •If • =1=1 r "Tr Gargp 1 P-1" .41 MAO Ph(01,07 ( r 1 1 1 Lt.; p 171 4 4,7 - • k t - I • al. - . •:'="""is , • ; .• • I ' _ -LT.) - • f ----- I 43*" E4 !:} r•Lf 8 11irtlt.A.1, 1 4 A Al So I}5 2e 20 so C B 1115.2O —='.nox'r"rE ,+ air. .. C 4 6 ___________________________________ _________________________ A -60 0 f15C5 5D1L5 LEGEND . Apes enlam, 44-w:414 ri..o (so Sly Sad tiP A • PEAT and ORGANIC RICH SILT and CLAY I cIRGANIC SILT and CLAY T id:RF-QA too sus _L;r�l . H r a B LLJ .J�F-54 rwar-65 s—. Ind ds !Al; IN; ri src IP 30 20 '0 r`a w ;V 1¢0 *41•4.pnd 94,4 t t ;I1III eLl nil erg T.t. Swiss (50 Pam seed wa ® Lentils.. ®IR) leee is lkd Reetleltv Nageerc pa ®09 i Pea o ! eer Vgoac soh row Sseel Can lets rr e s.rra�xr ISO zoo D'rxlenu Along Boeefiie imetersl 250 300 350 to -20 -30 .40 .w •w loo NMI 014alas irarlE WA* HAANQ7 PONTiIUEL FARM Hoe Corps Bose Comp Ie jeune.NC Ai 201-130 , JiRE 2002 mu FEGURE CROSS SECTION A -A' -aa BI FF-13 D of BRist ---� A A Ins-25 T FILL 1115.19 Fia _ RRR Ira Fse1 ow 4 H'FF-II IWPFF- f0 ^__ =] --- �— =H---- --- MO H C B A ■ PEAT and ❑RGANIC RICH SILT and CLAY •r a USCS SOILS LEGE% MI *WM icuaT IAD Say 5wtl 50 rAli Ivh 100 0nq StsI rod P.WirP.*1 'balloter/ lbedmre r 1 i.!l INORGANIC SILT and CLAY 100 150 Ague Al or Col I W Sly d rtl I$7• SCI Poay-p mihr1 SvE re, on ®erII ® rGIAAA-gkrk PPAWAvhie.aq Grill I AN Al ao-sa Asmf5Ity Dislunce Nor Baseline (meters) 250 D -- --- --�—_ 4- I B A 550 . Nor$ Care nlw[as ITmc HACSOGT POINT FUEL FIYR Marine Corps Bose Camp Lejeunr,NC Nu 201-130 1 JIkE 2002 tzsa Li CROSS QQ SECTION R-8r to • 20 0 - -70 -40 • -100 .120 J -140 100 FIGURE I0 [14•.rrx ..,.Ur lmp an en Rif So •I0 r 1115-IS 1115-23 —7 A r1 -50 .60 { • r•07 A PEAT and ORGANIC RICE! SIL' and CLAY IN❑RGANIC SI_T and CLAY 'PT-05 USCS SDILS LEiiENM iitlLos 10 UM ++o.saly rm �P:r vor i9C Siry 71M LP] Pecor alai rgA lane* Rai* IPT1 PnI tr l 0rgak Sree 104/ 1f h PMI'dl trgPic RI a Cb! f b Isnay WO sad 100 150 eriree LMieLem ® tMeia. TAi ler /7m042ry 11•5fk 94 er Cei ��u� 7 250 360 350 46) Distalce Moog BasoIee Waters], 11du Comer PRIEC7 !MC It6DNMI POINT FUEL FIRM Marine Corer Bea, Camp LejeurnJiC 2ci Aso rac2002 450 CROSS SECTION c-c' 11 s70 30 20 a -ia •20 -30 -40 .50 .60 A 30 -30 -go 0 DSC5 SIM LEGEND 196 MT Sad ;ii ® t 1Arpk numf tieing"' Al or Cry INN 4r.r. w u I f f ' r z ,F) If /if/ XI A /461(Q:Zr / 4/74 AZ/,' -„ r f/r "F/4,7 /"/ r PEAT and ORGANIC RIC- SILT and CLAY I INORGANIC SILT and CLAY 20 3o f; 40 10 40 Distance Along Hoene [mien) do. / ao go trea,ra HANOT POINT FUEL FARM Marine Corps Boss Comp L,}ew+e.NC la n 201-1J0 TrE.2oot Ilpl tot 100 no CROSS SECTION A-C 30 -10 F[GURE 12 .40 -50 -so 0 USCS sons LEGEND rs Sik r Sr � 11111 r- SO Com s.aa 1:12*.ej Sot ISW Ski Sod 20 A 1115-14 I115.25 rrN ssiAir L 'r D ■ PEAT and ORGANIC RICH SILT and CLAY INORGANIC SILT and CLAY ■0 so 1.1) Pot n• if j4 amok 6n1 FaOa a Or ® tostond L Liwdl°` Soll Sap Snot FIRSot� so 100 Distance AFonq BQ!& a Imeters1 /r�jf f7/J/�,fJ�yJ�f� � f/A Of // lJflr 12.0 go P .CCM HADNOT PG!NT FUEL FARM Marine Carps mast Comp L.;eune.NC xiss�Slun l#rld Cvdm ' ! 201.130 !�.A1C 2002 rITLr A I60 CROSS SECTION A-D 2115-15 10 0 10 - •20 •SO -40 -So -60 1,0 FIGURE 13 30 10 •40 E' 111-S 20 c v--------- 9 —,r,.��----- --� —------^—��----4 tee. ------ _ —_---------- -60 usCS SOILS LEGEND IIII Awe' ra— 190 9fy Sad 1SP! Fes src si SSM PEAT and ORGANIC RICH SILT and CLAY INORGANIC SILT and CLAY 20 rsin 1rrt9roeN Seas ® Om** ® On l a NOT Sel o K1r n.rgoaa po�.Selo I7 Omni . 15C1°gip,WO Ea KUiss 1r list P4rI t,imoserGel 40 110 111i-S9 69 4 D 80 100 O'ratarlce A1001) 9oseirne {meters) A 1I15.23 120 140 tri 111 20 10 11 -10 • .40 1 -ea 1B0 CAZLII1 plbi •maim rrilTs �eM1 North tacmr rxO,CCT HAONOT POINT FUEL FARM Wiring Corps Bose Camp tejurrkee,NC a 21:0-L O 1 M _2002 TITLE CROSS S[^ECTION E-L1 FIGURE 14 _„ -40 00 -100 •420 HI:FF-09 LL A • •lea - 0 20 I2SCS SOILS LEG * i3[i Cqq Snc A(r Psd a sly tour to®a sea Fa'I* 0ree9-L me IICU 99•Feftel I0J L4 Al Pr PUp T '-'•' 1 1P - NI Pon 7 %• Mr0 rrx•ye�e Sud alLI.ui . Pfk Srd '' in PEAT and fFGANIC RICH TILT and CLA) IN❑RGANIC SILT and CLAY 100 SELF kW r7iRelRra`!d lYralw 40 a0 e0 iiPFF • W IfFF-B7 cAra 1 =� !Ia 1!:• 1l.t 992 Mot 900 100 120 Distance Nang 9aserre (meters} CI:MAMA umierremmilb:Wrins /i•iyloti MSS Cs** }Y 140 150 110 200 220 errs=CT HADNOT POINT FUEL FARM Marine COTps Boas Comp Lejeune,NC a >4 R 201-i30 FR1E 2002 TITL[ CROSS SECTION F -F' w 20 .29 -80 -100 AID -NO 0 A' cI PFF -OS HPFF-I5 I um 12E1 -40 Z______ _____ B f H FFTF-06 --------- t- -------------- ----- -------- ------- ------ ---- -------- Et A -eo ism SOILS LEGEND • 4 PEAT ond ORGANIC RICH SILT and CLAY INORGANIC SILT and CLAY A f210 ON.,406 Sind at04141 Paskrly 10(00.787 Sint Ellamok,* Mr; 40 ISP-SCIPLairoadmil Nail Oh Org 60 SO 100 100140 DIsionce Along Basefre NO 180 200 220 140 2110 30 20 10 .10 30 -40 -50 .60 .7° -60 catun j PliOaCT HADNOT POINT FUEL FARN id. CVOs laki" Comp LajourN.Ne : 'OM CROSS SECTION A'-C1 FlGuRE 1 6 L—OfilIII i=WMM ob.inetan. MAO eff Ca* 201-130 1 2002 Soil Boring Logs and M onitoring Well Completion Records WELL LOG ~CATLIN Engineers and ScientislS 209-034 SHEET 1 OF 1 WIimington, NC PROJECT NO.: 209-034 STATE: NC I COUNTY: Onslow LOCATI0N:Jacksonville PROJECT NAME: HPFF FREE-PHASE PRODUCT LOGGED BY: Justin Heter WELL ID: DELINEATION DRILLER: William J. Miller USTHPFFC- NORTHING: 3839100.2 EASTING: 286333.4 CREW: Ro Qer Caulder MW82 SYSTEM: UTM NAD83 (rn ) BORING LOCATION:Alon <i Ash St. near HPFF T.O.C. ELEV.: 27.01 DRILL MACHINE: CME 458 A TV METHOD: HSA/MR l oHOURDTW: 1.0 TOTAL DEPTH: 30.0 START DATE: 12/14/09 FINISH DATE: 12/14/09 J 24 HOUR DTW: 7.5 WELL DEPTH: 30.0 BLOW COUNT OVA M l SOIL AND ROCK WELL DEPTH LAB. 0 0 (ppm) I DESCRIPTION Bin Bin Bin Bin s G DEPTH ELEVATION DETAIL 0.0 LAND SURFACE 27.4 0.0 -... -0.4 --~:;: -2.0 25.4 -2.0 -t; ,.. 3.0 >---(SP/SC) -Olive brown, Clayey SAND to f. -w 1 w 1 1055 M :::~ SAND. Med. dense. Strong HCO -0 0 ,__ -H H 5.0 22.4 --,__ -<.> -~ -6.0 19.4 !ij! ! 8.0 1 --2 3 2 2 1155 w (SP) -Gray, f. SAND. Loose. Strong HCO "' -·-:.>: 10.0 17.4 ... --------13.0 14.4 13.0 13.0 .. ,-.: -~} -5 11 14 14 1050 Sat. --·.·.·,· (SP) -S.A.A. w/lense of It. brown Sand w/oily _}: .. 15.0 15.0 - tI residue II -4 6 4 2 1171 Sat. - 17.0 16.9 10.5 ·-~{OH } -Dark brown On:ianic SILT {PEATI ;a:-2----1 1 2 3 665 Sat. (SP)-Dark brown, f. SAND w/some Silt/Clay. --19.o Strong HCO 6.4 19.0 .,, .. w 1 5 9 2060 Sat. ~ 20 _0 (PT) -Dark brown, PEATw/large wood frags 7.4 H -0 -H 21.0 --.... ~g -7 14 13 10 1544 Sat. .. (SP)-Gray, f. SAND. Strong HCO --=! "- i 00 ... ... _ ... §if 23.0 -.::·<: 23.5 3.9 ,.. ~31 ~ - {ft. -5 6 5 5 96.8 Sat. (SW) -Brown and gray, f. SAND w/med. grains >-E :} i! ... ~::_: ~ 25.0 25 _5 and Clay. Strong HCO 1.9 ,.. E\~ --2 2 3 6 125 Sat. il!I -~::: ~ ... E--;-/ ~ 27.0 (SP) -Grayish brown, f. SAND w/trace Clay. ~ t:::: Strong HCO ... §t ~ -2 3 3 5 142 Sat. --29.0 -1.6 ,.. ~ .. .-. ii ~·:·.:. E -... 29.& ~::.: 30.0 ·.-:.-. ,n n i -Boring Terminated at Elev. -2.6 ft ... g -~ -... l --... -,__ -... -,__ ~ -,- ~ Portland Cement II Bentonite Pellets ETIJ#2 Medium Sand NON RESIDENTIAL WELL CONSTRUCTION RECORD North Carolina Department of Environment and Natural Resources - Division of Water Quality WELL CONTRACTOR CERTIFICATION N: 2927 1. WELL CONTRACTOR: William J. Miller Well Contractor (Individual) Name CATLIN Engineers and Scientists Well Contractor Company Name STREET ADDRESS 220 Old Dairy Road Wilmington North Carolina 28405 City or Town State ( 910,) - 452-5861 Zip Code ❑ 0 Area code - Phone ntunber 2. WELL INFORMATION SITE WELL ID 4(f applicable): USTH PFFC-MW82 STATE WELL PERMIT 0(if applicable): , N/A OWQ or OTHER PERMIT 9 (If applicable): N/A WELL USE (Check Applicable Sox) Monitoring ® MunlpipeVPubric IndustrtaI/Cammarcisl 0 Agricultural 0 Ref -ovary 0 Injection irrigation ❑ oth.r ❑ [list uaey DATE DRILLED: 12/14/2009 AM ❑ PM 110 Onsiow TIME COMPLETED: 17:00 3. WELL LOCATION: CITY: Jacksonville COUNTY: HPFF MCB, Camp Leieune, 28547 istreei Ne+ne, NWn ra,%'prrlrma•rdy, sidnrdonTo TOPOGRAPHIC / LAND SETTING Slope❑ Wiley Ftat® Ridge❑ LATITUDE' 34.671600971 h Firm. zip Cudpy Other. Ma} be R1 degrees nr; d (levees: LONGITUDE: 77.332000349 Latitudellongltude source: al GPS • Topo. map (Location of weird must be shown on a IJSGS topo map and attached to rhrs form it not using a GPS.) 4 FACILITY • le the name M the humus Mum the wel 4 IOCRIed FACILITY ID #i{ir applicable) Hadnot Point Fuel Farm NAME OF FACILITY: Hadnot Point Fuel Farm STREET ADDRESS: HPFF p MCB, Camp Leieure Jacksonville NC 28547 City or Town State CONTACT PERSON: Mr. Nick Schultz Zip Code P$C Box 20004 STREET ADDRESS: Attn: I&EI EMDI EQBI Camp Lejeune NC 28542-0004 City or Town State (910),• 451-5068 Zip Code Area code - Phone number 6. WELL DETAILS: a. TOTAL DEPTH: 30 b. DOES WELL REPLACE EXISTING WELL? YES ❑ NC c. WATER LEVEL Below Top of Casing: 7.45 FT. (Use "+" if Above Top of Casing) d. TOP OF CASINO IS `O.4 FT. Above Land Surface' ' Top W cseklr tarndnetsd Bator below lend outface require; ■ ranee in aeaaraanel *Mh 11A NCAC 2C.011S e. YIELD (gpm): MfA METHOD OF TEST: NIA f. DISINFECTION: Type W!1 Amount: WA g. WATER ZONES (depth): From To From To From To From To From To From To S. CASING: Thickness/ Depth Diameter Weight Material From 0.422 To 15 It. 2" Sch. 40 _ PVC Frorn To ft. From To ft. " 7. GROUT: Depth Material Method From 0.5 To 2 FL Portland Cement Surface Pour From 2 To 13 Ft. Bent. Pellets Surface Pour From To Ft. 8. SCREEN: Depth Diameter Slot Size Material From 15 To 29.5 Ft. 2 in. Slot .010in, PVC From To Ft. in. in. From To Ft. in. in, 8. SAND/GRAVEL PACK: Depth Size Material From 13 To 30 Ft. #2 Medium Torpedo Sand From To Ft. From To 10. DRILUNG LOG From To Ft. Formation Description SEE ATTACHED 11, REMARKS: PERMANENT TYPE I FLUSH MONUT I DO HERESY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE wart 15A NCAC 2C WELL CONSTRUCTION STANDARDS. AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER /—�`fa S TORE o CERTIFIED WELL CONTRACTOR DATE William J. Miller PRINTED NAME OF PERSON CONSTRUCTING THE WELL Submit the original to the Division of Water Quality within 34 days, Attn: Information Management, 1617 Mall Service Center - Ratelph, NC 27609167, Phone No. (919) 733-7445 eat 568. Modifted from Form OW -lb Rev. 7/D5 "IORIB CAROLINA DEPARTMENT OF ENVIRONMENT, HEALIB AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL MANAGEMENT-GROUNDWATER SECTION P.O. BOX 27687 -RALEIGH, NC 27611-7687 rHONE: (910) 733-3221 WELL CONSTRUCTION RECORD FOR HPFF-15 DRILLING CONTRACTOR Richard Catljn & Associates. lnc. FOR OFFICE I 'SE Ql\'I Y Quad No. _____ Serial No. Lat. ____ Long. ____ Pc __ _ Minor Basin._ _________ _ Basin Code. ___________ _ Header Ent. ____ GW-1 Ent. STATE WELL CONSTRUCTION DRILLER REGISfRATION NUMBER !.HZ PERMIT NUMBER: __,_,N.,_/....,A.___ _____ _ 1. WELL LOCATION: (Show sketch of the location below) County: Nearest Town: ___,_.la~c~ks~o=n~v =ill.,.e __________________ _ Hadnot Poin t Fuel Farm ~ (Road, Community, or Subdivision and Lot No.) From To 2. OWNER LANTD[Y NA VF ACENGCOM Commanding Genera\ ADDRESS __ ..,.A..,,C.._/_..S~E-M~P"-/..,Ma,,a,.,_n.,.·n,,.e_,C..,o.,.rp ....... s ..,.B.,.as.,e.,_/.._PSC..,.._.B..,,o=x~2=0~QQ4~---- (Street or Route No.) Camp Lejeune NC 28542--0004 City or Town State Zip Code 3. DATE DRILLED 6/25/97 USE OF WELL Monitoring 4. TOTAL DEPTH__li!L. CUTTINGS COLLECTED __x_YES NO 5 . DOES WELL REPLACE EXISTING WELL? YES _ _,X'-'--_NO 6. STATIC WATER LEVEL:±Ll.6_Ff. _ ABOVE/llfil.QW TOP OF CASING. 7. YIELD (gpm): _ _,N....._./A~--METHOD OF TEST ____ N~iA~-- 8. WATER ZONES {depth): -~s,..u .. r_..fi..,ci.,.al.._A...,..qu.,_1..,·fe ... r ____________ _ 9. CHLORINATION: Type: 10. CASING: 1lep.th From 0 To 5 Ft. From To Ft. 11. GROUT I2epili From 0 To 0 .5 Ft. From 0.5 To 2.5 Ft. 12. SCREEN: 12ep.th From 5 To 15 Ft. 13. GRAVEL PACK: Q$ From 2.5 To 15 Ft. ~IA Amount NIA Wall Thickness Qii!meter QI ~i:ight/Ft. Miw:rial 2 in. in. Malma.l CEMENT BENTONITE Di;i.met.i:r 2 in. ~ TORPEDO SCH40 PVC SCH40 PVC M!:trux1 TREMIE CHIPS ~ .Makl:ifil .Ol0in. Mmr.ial SAND PVC Ons l w DRILLlNG LOG Formation Description SEE A ITACHED [[ additions!! s 11ace is need!:g use back of form. LOCATION SKETCH (Show direction and distance from at least two State Roads, or other map reference points. I SEE ATTACHED 14. REMARKS: __________________________ _ I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER. L/ ✓---7// __ /V_/ _ , _.,./1 I-._ ./ ,/ ~ -"'1,,-:✓ ./c, / 0 · , -~ 7 SIGMITURE OF CONTRACTOR OR AGENT DATE GW-1 REVISED 2/90 Submit original to Division of Environmental Management and copy to well owner. L + 7 . 14 HPFF—I5 12" WATERTIGHT r MANHOLE ASSEMBLY 4" DIAMETER THREADED AND LOCKABLE CAP • GROUT WATER TABLE 2.: . 2"-0.010 SLOTTED PVC WELL SCREEN SAND PACK PLUG 4 4 ff % �-3'x 3'x 0.50' 3000 CONCRETE PAD 2.0'BENTON!TE SEAL 2.O'SAND PACK ABOVE SCREEN TOTAL DEPTH =15_0' 5.0' (RISER) 10.U' (WELL SCREEN) ENGINEF.R3andSCIENTISTS VIE 1HADNOT PT. FUEL FARM MARINE CORPS BASE CAMP LEJEUNE, NC RUSH TYPE !I MONITORING WELL DETAIL FIGURE xa"197l06 fI+ aEP 97 NO SCAI.11 *+.r NORTH CAROLINA DEPARtMENdT OF ENVif(ONMENT• HEALT11 AND NATURAL RESOURCES IAV &CN OF ENVIRONMENTAL MANAGEMENT - GROUNDWATER STCi1ON P.O. BOX 27657 - RALEIG f. NC 2m11-76e7 r11ONE 1310 713 3221 WELL CONSTRUCTION RECORD FOR HPFF-19 DRILLING CONTRACTOR Richard Catlin do Associates. Inc. FOR OFFICE LIEF ONLY Quad No. Serial No. Lat. Long. Pc Minor Basin _ Basile Cade Header Ent. GW-1 Ent. STATE WELL CONSTRUCTION DRILLER REGISTRATION NUMBER 1142 PERMIT NUMBER: NIA 1. WELL LOCATION: (Show sketch of the location below) County: Onslaw Nearest Town: la:isonvillc l-Iadnoj Pmint Furl Farm (Road, Community, or Subdivision and Lot No.) 2. OWNER LANTDIV NAVFACENGCOM Commanding_GGeneral ADDRESS AC/S ENID/Marine Corps Base/F5C Box 20004 Depth DRILLING LOG From To Formation Description (Street or Route No.) Camp Lejeune NC 28542-0Q04 City or Town State Zip Code 3. DATE DRILLED 7/08/97 USE OF WELL - Monitoring 4. TOTAL DEPTH 15.0' CUTTINGS COLLECTED X YES NO 5. DOES WELL REPLACE EXISTING WELL? YES It NCI 6, STATIC WATER LEVEL:* 5.71) FT. ABOVE/BELOW TOP OF CASING. 7_ YIELD (gpm): N A METHOD OF TEST NIA 8, WATER ZONES (depth): SurfiiciaLAa,uifer 9 C[-HLORINATION: Type: N/A Amount N/A 10. CASING: Wall Thickness T.hgth Diameter or Wright/Et. Material LOCATION SKETCH From 0 To 5 Ft. 2 in. SCH40 PVC (Show direction and distance from at least two State From To Ft. in. SCH40 PVC Roads, or other map reference points.) SEE ATTACHED If additional space is needed lase pack at form. 11. GROUT: Depth Material, Method From 0 To 1 Ft. CEMENT TREMIE From I To 3 Ft. BENTONITE CHIPS 12. SCREEN: From Depth Diameter S1os Size final 5 To 15 Ft. 2 in. .010 in. PVC 13. GRAVEL PACK: From Depth SiZ.0 Material To 15 Ft, TORPEDO SAND 14. REMARKS: SEE ATTACHED I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION STANDARDS. AND THAT A COPY OF T1-135 RECORD HAS BEEN PROVIDED TO THE WELL OWNER. GW-1 REVISED 2/90 • f — a: SIGNATURE OF CONTRACTOR OR AGENT ` DATE Submit original to Division of Environmental Management and copy to well owner. 5.7C' GROUT HPFF--19 -12' WATERTIGHT MANHOLE ASSEMBLY 4' DIAMETER THREADED AND LOCKABLE CAP WATER TABLE • of. • 2'-0.01 0 SLOTTED PVC WELL SCREEN SAND PACK PLUG • C,";>z,, -\,,,,\-••>\.- i< • CONCRETE PAD 31x 3'x 0.50' • 3000 P.S.I. 2.0' BENTONITE SEAL 2.0 SAND PACK ABOW SCREEN 5.0' (RISER) —1 TOTAL DEPTH = 15.0 10.0T N ELL SCREEN) PROIXr �.An miliel_ *TAR CA��YP MARINE CORPS BASE ENIQINEERSsidSCIENT T LEJET'NE, NC FLUSH TYPE 11 MONITORING WELL DETAIL 40102 97I06 rat SEP 97 MO SCALifau*"r NORTH CAROiINA DEPARTMENT OF ENVIRONMENT, 1IFALIH AND NATURAL RESOURCES D[VI.1ON Or ENVIRONMENTAL MANAGEMENT - GROUNDWATER StCr1AN P.Q. BOX 2707 - RALEIGH, NC z7611.7687 rsso:ue t9T01733.3221 WELL CONISCRUTTO _ CORD FO , FWD/ DRILLING CONTRACTOR_ Richard Catlin ¢Fees. Inc DRILLER REGISTRATION NUMBER 114: FOR OFf1C$ T NE ONLY Quad No. _. Serial No. Lat. _ Long. Pc Minor Basin 13asin Code Header Ent. GW-t Ent, STATE WELL CONSTRUCTION PERMIT NUMBER: N/A 1. WELL LOCATION: (show sketch of the location below) Nearest Town: Camp Lejeune Hadnot Point Fuel Farm (Road, Community. or Subdivision and Lot No) 2. OWNER 1A T1alAYYELCEM 0M- CorglLanding Genera/ ADDRESS A,i/CEMp/Marine ores.Saye/P$Jhx2Z004 (Street or Route No.) Camp Lejf,une Isi.0 _28542.0004 City or Town State Zip Code 3. DATE DRILLED 11121/95 USE OF WELL Monitoring, 4. TOTAL DEPTH 15.0' CUTTINGS COLLECTED X YES NO 5. DOES WELL REPLACE EXISTING WELL? County: ' 1rjs1 Depth Iron: To YES � NO t . STATIC WATER LEVEL:x 7.5 FT. ABOVE1$FLOW TOP OP CASING. 7. YIELD (gpm): NIA METHOD OF TEST NIA R. WATER ZONES (depth): Surfiirial Aquifer 9. CHLORINATION: Type: N/A Amount N/A DIM IDeS. zIS Formation Description SEE ATTACHED If addition l pace >s needecjuse hick of form. 10, CASING: Wall Thickness lt, Diameter or Weie.bt/Ft Material LOCATION SKETCH From 0.5 To 5.0 Ft. 2 in. SCH44 PVC (Show direction and distance from at least two State From To Ft, in. Roads, or other map reference points.) 11. GROUT- Lath Material Me1Iwd From 0.5 To 2.5 Ft. CEMENT TREMIE From 2.5 To 3.5 Ft. BENTONITE CHITS 12. SCREEN: Leath Diameter Slot Size Material From 5.0 To 15.0 Ft. 2 in. .010 in. PVC 13. GRAVEL PACK: Lath Site Material From 3.5 To 15.0 Ft. TORPEDO SAND 11. REMARKS: SEE ATTACHED t DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WW-I 15 NCAC 2C. WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF TFIIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER. SIGNATUREI0F CONTRACT011 OR AGENT DATE GW-I REVISED 2/90 Submit original to Division at l~ viranmental Management and copy to well owner. + 7 S 7/& GROUT X. WATER TABLE 21-0.010 SLOTTED PVC WEIL SCREEN SAND PACK PLUG • 12WATERTIGHT MANHOLE ASSEMBLY 46 DIAMETER THREADED AND LOCKABLE CAP `YY 5'x 5'x 0.50" 3000 P.S.I. CONCRETE PAD 451 I' BENTONITE SEAL (RISER) • • k\A 1 . 5 'SAND PACK ABOVE SCREEN TOTAL DEPTH = (WELL SCREEN: HPFF2 r Mud Cal& I Asocial% ha PIODECT HADNOT POINT FUEL FARM MARINE CORPS BASE CAMP LEJEUNE, N C, 111 UNPAVED SURFACE TYPE II MONITORING ViEU.. DETAIL FIGURE [,..-Nr 4R•maii filiMik MOS AM MCIACISIS RCIcA viumpork He Dowsrat. x muirm. CA IIDDRESAIE. IC . Ikt 9 50 9 3 DAL DEC . 95 T SC1M -111AMA 117: I Olean dt T p riLL STD WAILS O'BRIEN & GERE Report of Bori, No.: R'ol#2 !GINEERS, INC. TEST BORING LOG Sheet of 1 ... F_.1ject Location: Caq, LeJeune, NC SAMPLER GrOl.fld Water Depth Date Type: 211 O.D. Split Spoon Depth Date Client: Navy Hanmer: 140 lbs. Fall: 30 11 File No.: 3543.012 ... E ring Co.: Envi rorwnental Monitoring & Testing Corp. I Boring Location: I :eman: Mike Ransier Ground Elevation: cfflT; Geologist: John D. Conway Dates: Started:12/13/89 Ended: 12/13/89 t Saq,le Stratun Fie d Tes Ing R Sa~le Change Equipment m 1Jth Blows Penetr/ "N" Description General lnstal led Sp k No Depth /6" Recovry Value Descript pH Cond HNU s* I) ... I D'1'1 gray, fine to mediun SAND with a 1 ttle silt. I 10 I Groundwater. 'olet, gray, fine to mediun, quartz SAND with 1-SX heavies. l 20 l -1 i ----------------------------------------Wet. Black, fine to mediUII quartz SAND. I Ls I°' - ~ ,__ I µ - I - No spoons taken. Descriptions based on recovery of augers. I lL. L GROUND SURFACE , TOP3OF SEAL. DEPTH -- — TOE SAND DEPTH TOP OF SCREEN DEPTH BOTTOM OF SCREEN DEPTH 33 (LUSH MCUNIELi STEEL PROTECTIVE CASING W/L1❑ CEMENT/ DENTONITE GROUT 6 I.D. PVC SCHEDULE +�o WELL CASING BENTONIT.E PELLET SEAL 40 ,. I.O. PVC SCHEDULE WALL SCREEN SLOT SIZE SAND PACK Camp LeJeune RW##2 MONITORING WELL SPECIFICATIONS N. T. S. /'!! O'BRIEN&GERE North Carolina — Department of Environment and Natural Resources — Division of Water Quality — Groundwater Section 1636 Mail Service Center — Raleigh, N,C. 27699-1636 — Phone (919) 733-3221 WELL CONSTRUCTION RECORD WELL CONTRACTOR: Bobbie Fowler/Richard Catlin & Associates WELL CONTRACTOR CERTIFICATION #: 2869 HPFF —29 STATE WELL CONSTRUCTION PERMIT #: N/A 1. WELL USE (Check Applicable Box): Residential Municipal Industrial Agricultural Monitoring Recovery Heat Pump Water Injection Other If Other, list use: 2. WELL LOCATION: (Show sketch of the location below) Nearest Town: Jacksonville County: _Onslow Hadnot Point Fuel Farm (Road Name and Numbers, Community, or Subdivision and Lot No.) —DRILLING LOG DEPTH 3. OWNER LANTDIV NAVFACENGCOM, Commandinc General Runt To Formation Description Address _ACJS EMD Marine Cops Bese+P5C Box 20004 (Strad or Route No.) Cat�t Lejeunc, North Carolina 28542-0004 City or Town State Zip Code 4. DATE DRILLED 1/21/00 S. TOTAL DEPTH 14.0' 6. CUTTINGS COLLECTED XX YES NO 7. DOES WELL REPLACE EXISTING WELL? YES XX NO 8. STATIC WATER LEVEL Below Top of Casing 6.8 Ft. (Use "+" if Above Top of Casing) 9. TOP OF CASING IS Ft Above Land Surface* *Top of casing terminated at/or below lard surface requires a variance in accordance with 1SA NCAC 2C.0118 10. YIELD (gpm): NM METHOD OF TEST N/A 11. WATER ZONES (depth) Sutficial Aquifer SEE BORING LOG 12. CHLORINATION: Type NIA Amount N/A If additional space is needed use back of form 13. CASING: Wall Thickness Depth Diameter or Weight/FL Material LOCATION SKETCH From 0 To 4 Ft. 2" SCH 44 PVC (Show direction and dista nee from at least two State From To FL — Roads, or other map reference points) From I4. GROUT: To Ft Depth Material Method From_ 0 To _0.5 FL _Cement Pour From 0.5 To 2.0 FL Bentonite Chips 15. SCREEN: SEE FIGURE 1.2 Depth Diameter Slat Size Material From 4 To l4 Ft. 2 in. .010 in. PVC From r To Ft. in. in From To FL in. in. 16. SAND/GRAVEL PACK: Depth Size Material From?_ To 14 Ft. Torpedo SAND From To Ft. 17. REMARKS: I DO HERESY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL CONSTRUCTIONN STANDARDS, AND THAT A COP THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER. FOR OFFICE USE ONLY Quad No: Serial No: SIGNATURE OF PERSON CONSTRUCTING..(1it WELL Submit original to Division of Water Quality, Groundwater Section within 30 days DATE GW-1 REV.I2/99 HPFF-29 am wig 12" WATERTIGHT MANHOLE ASSEMBLY 4" DIAMETER THREADED AND LOCKABLE CAP o.o 7 . • ,/•\ \\*, ±6.8' 1 WATER TABLE 2"— 0.01 0 SLOTTED PVC WEU_ SCREEN SAND PACK PLUG •• 3rx 3'x 0.50' .1r;/ Y \YN'.7% CONCRETE PAD OP i—t 1 •5bENTONITE SEAL 2.5 'SAND PACK ABOVE SCREEN TOTAL DEPTH =14.0' 4. 0' (RISER) 10.0' (WELL SCREEN) EL I MELT HADNOT POINT FUEL FARM Claim' LEJEUNE, NC ALE FLUSI4 TYPE II MONITORING WELL DETAIL FIGURE FiSek on Bei wisondscisTs 1111JOKTON, NORTH COMMA " 4/2 200-004 ° 9144 NTS r""4P rag= re Div1LM Ottn2eo-4} Irk rni app �" CATLIN wELL LoG Engineers and Scientists xio NC SHEET 1 OF 1 PROJECT NO.: 210127 STATE: N.C. , COUNTY: Onslow LOCATION: MCB, Camp Lejeune PROJECT NAME: HPFF - Free Phase Product LOGGED BY: Tom Stetler WELL ID: Delineation DRILLER: John E. Wood, III USTHPFFC- NORTHING: 3839184.3 EASTING: 286358.0 ,DREW: Josh O'Connell MW92 SYSTEM: UTM NAD83 (m) BORING LOCATION: T.O.C. ELEV.: 26.58 DRILL MACHINE: Diedrich D-50 METHOD: HSA 0 HOUR DTW, 9.3 TOTAL DEPTH: 13.0 START DATE: 11/30/10 FINISH DATE: 11/30/10 24 HOUR DTW: WELL DEPTH: 13.0 DEPTH BLOW bin 6iit COUNT 6In Bin OVA %lAl3. (PPm) IA a g o G SOIL AND ROCK DEPTH DESCRIPTION ELEVATION WELL DETAIL 0.0 LAND SURFACE 26.9 o.0 3.0 - — - -- 3,0 23.9 -0.3 h 3.0 — - — G — 1.0 1.6 - 1..'. 3 2 2 3 1,650 MIW (SM) - Gray, Silty, v.f, SAND w/tr. day. Possible product at base of sample. Strong NCO. 5.0 21.9 4 3 2 2 1,452 Sat. (SP) - Gray to tan, v.f. SAND wit. silt and interlayered silty/clayey sand. Strong NCO. 10.0 19.9 ire L r - 12.5 13.0 - = ' �.: �s e Boring Terminated at Elevation 13.9 ft In Silty, f. SAND. Penland Omen/ Ei Bentonite Pellets 0*o Medium Sand NON RESIDENTIAL WELL CONSTRUCTION RECORD North Carolina Department of Environment and Natural Resources - Division of Water Quality WELL CONTRACTOR CERTIFICATION #: 2799 1. WELL CONTRACTOR: John E. Wood, III Well Contractor (Individual) Name CATLIN En,gineers and Scientists weii Contractor Company Name 220 Old Dairy Road Street Address Wiilmington North Carolina 28405 City or Town State Zip Code ( 910) - 452-5861 Area code - Phone number 2. WELL INFORMATION WELL CONSTRUCTION PERMIT N: N/A OTHER ASSOCIATED PERMIT* (if applicable): NIA SITE WELL ID # (if applicable) USTH PF FC-MW92 3. WELL USE(Check One Box): Monitoring ® Munfcipal/Public0 Industrial/Commerciat0 Agricultural ❑ Recovery ❑ Irgection ❑ irrigation 0 Other 0 plat use). DATE DRILLED:November 30. 201Q 4. WELL LOCATION: Ash Street, 28542 {Steal Name, Numbers, Canmunrty, Subersnlen, Let No., Parcel, lip C;Aat CrrY: MCB, Camp Leieune COUNTY; Onslow TOPOGRAPHIC I LAND SETTING (check appropriate box) L lope ❑Valley ®Flat ❑Ridge ❑Other: LATITUDE: LONGITUDE. 34'40'20.50882H DMS 77°19'54.31536" DMS L.atitude/fongitude source: ® CPS 0 Topo. map (Location of wolf must be shown on a LISGS topo map arid attached to this form if not using a GPS) 5. FACILITY (Hama or rho business where the wall is located.) Former Hadnot Paint Fuel Farm N/A Facility Name Facility ID # (if applicable) Ash Street Street Address MCB, Camp Lejeune NC 28542 City or Town State Zip Code Mr. Nick Schultz Contact Name Attn: I&EI EMD/ EQB/ PSC Box 20004 Mailing Address Camp Lejeune NC 28542-0004 City Or Town State Tap Code (910)- 451-5068 Ares code - Phone number 6. WELL DETAILS: a. TOTAL DEPTH: 13 b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO (111 c. WATER LEVEL Below Topof Casino- 9.30� FT. (Use "+" if Above op ofCaGating) d. TOP OF CASING IS �0.40 FT Above Land Surface" • rop oT casino tlnNnaied Wm Maw land surface may require a varrema 1n acaardance with ISA NCAC 2C.1/11e, e. YIELD (gprn): le METHOD OF TEST: NIA f. DISINFECTION: Type Na Amount: INjg g. WATER ZONES(depth): Top Bottom Tap Bottom Top Bottom Top Bottom Top Bottom Top Bottom 7. CASING: Top QA Top Top B. GROUT: Top 0.5 Top 1 Top 9. SCREEN: Depth Bottom Bottom Bottom Thickness/ Diameter Weight Material 3 Et. 2 in. Sch. 40 _ PVC Ft. in. Ft. in, Depth Material Method Bottom 1 Ft.Portland Cement Surface Pour Bottom 1,5 Ft. Bent Pellets Surface Pour Bottom Ft. Depth Diameter Slot Size Material Top 3 Bottom 12.6 Ft. 2 in. Slot .010 in. PVC Tap _ Bottom Ft. in. In_ Top Bottom Ft. in. in. 10. SAND/GRAVEL PACK: Depth Size Material Top 1.5 Bottom 13 FL #2 Medium Torpedo Sand Top Bottom Ft. Top Bottom Ft. 11. DRILLING LOG Top Bottom Formation Description 1 t SEE ATTACHED r .12. REMARKS: Permanent Flush Type II • FOCI HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE MTH 15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER. of as-17-lo NATURE OF CERTIFIED WELL CONTRACTOR ohn E. Wood, Ill : PRINTED NAME OF PERSON CONSTRUCTING THE WELL Submit within 30 days of completion to: Division of Water Quality - information Proceaelne, 1617 Mall Service Center, Raleigh, NC 27699-1017, Phone No. fS19) B07-6300 DATE Modified from Form GW-1 b Rev. 2109 Safety Data Sheets Lzr Environmental Technologies Safety Data Sheet 3830 S. Truman St., Bldg 12 Washougal, WA 98671 (971) 222-3903 Fax www,etecllc.com Revision Date: 05/12/2015 Section 1: Product and Company identification Product Name: MSS Number: Chemical Name: Chemical Family: Recommended Use: Restrictions on Use: Company: Telephone: CBNT"" Custom -Blend Nutrients 014 Inorganic Nutrient Mixture Mixed Nutrient Microbial Nutrient No Data ETEC, LLC 3830 S. Truman St., Bldg. 12 Washougal, WA 98671 USA (971) 222-3616 Emergency Telephone: (800) 535-5053 Medical Emergencies: (800) 301-7976 U.S. Coast Guard National Response Center: (800) 424-8802 Section 2: GHS Hazards Identification This chemical is considered hazardous by the 2012 OSHA Hazard Communication Standard (29 CFR 1910.1200) Oxidizing solids Category 3 Skin irritation Category 2 Eye irritation Category 2 Specific Target Organ Toxicity - single exposure (Respiratory system) Category 3 Label Elements: Signal Word: Warning Revision Date: 05/12/2015 Page 1 of 8 Safety Data Sheet CBN TM Custom-Blend Nutrients Hazard Statements: May intensify fire; oxidizer Causes skin irritation. Causes serious eye irritation. May cause respiratory irritation. Precautionary Statements: Keep away from heat. Keep/Store away from clothing/ other combustible materials. Take any precaution to avoid mixjng with combustibles. Avoid breathing dust/ fume/ gas/ mist/ vapors/ spray. Wash skin thoroughly after handling. Use only outdoors or in a well-ventilated area. Wear protective gloves/protective clothing/eye protection/face protection. IF ON SKIN: Wash with plenty of soap and water. IF INHALED: Remove victim to fresh air and keep at rest in a position comfortable for breathing. IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. Call a POISON CENTER or doctor/ physician if you feel unwell. Specific treatment (see supplemental first aid instructions on this label). If skin irritation occurs: Get medical advice/ attention. If eye irritation persists: Get medical advice/attention. Take off contaminated clothing and wash before reuse. In case of fire: Evacuate area. Fight fire remotely due to the risk of explosion. Store in a well-ventilated place. Keep container tightly closed. Store locked up. Dispose of contents/container to an approved waste disposal plant Hazards not otherwise classified (HNOC) or not covered by GHS -none Section 3: Composition/Information on Ingredients Ingredients as defined by 29 CFR 1910.1200: Chemical In gredients: CAS Number: Trade Secret 1 - Trade Secret 2 - Percent Ran ge: 60-80% 20-30% The specific chemical identity and/or exact percentage of the composition has been withheld as Trade Secret in accordance with paragraph (i) of§1910.1200. Section 4: First Aid Measures Description of first aid measures: Inhalation: Remove victim to fresh air and keep at rest in a position comfortable for breathing. If not breathing, give artificial respiration. Call a poison center or doctor/physician if you feel unwell. Skin Contact: Wash with plenty of soap and water. Take off contaminated clothing and wash before reuse. If skin irritation occurs: Get medical advice/attention. Revision Date: 05/12/2015 Page 2 of 8 Safety Data Sheet CBN TM Custom-Blend Nutrients Eye Contact: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. If eye irritation persists: Get medical advice/attention. Ingestion: Never give anything by mouth to an unconscious person. Rinse mouth with water. Most important symptoms and effects, both acute and delayed: See sections 2 and/or 11. Indication of any immediate medical attention and special treatment needed: No data available. Section 5: Fire Fighting Measures Suitable Extinguishing Media: Use water spray, alcohol-resistant foam, dry chemical or carbon dioxide. Unsuitable Extinguishing Media: No known information. Specific Hazards Arising from the chemical/substance: Oxidizer -Contact with combustible/organic material may cause fire. May decompose upon heating to produce corrosive and/or toxic fumes. Keep product and empty container away from heat and sources of ignition. Sealed containers may rupture when heated. Sensitive to mechanical impact. In case of major fire and large quantities: Evacuate area. Fight fire remotely due to the risk of explosion. Hazardous Combustion Products: Nitrogen oxides, phosphorous oxides, ammonia. Protective Equipment and Precautions for Fire-Fighters: As in any fire, wear self-contained breathing apparatus and full protective gear. Section 6: Accidental Release Measures Personal precautions, protective equipment and emergency procedures: Eliminate all ignition sources and heat sources if safe to do so. Ensure adequate ventilation. Use personal protective equipment. Avoid dust formation. Do not breathe dust/fume/gas/mist/vapors/spray. Environmental Precautions: Do not flush to surface water. See section 12 for further environmental data. Methods for Containment/Cleaning Up: Collect spillage. Collected waste may be transferred to a closed, preferably metal container and sent to a RCRA approved waste disposal facility. Alternatively, pick up and place spill into noncombustible container and dissolve in large amount of water. Add soda ash. Mix and neutralize with 6M-HCI. Neutralized sludge may be sent to an approved waste disposal facility. Ventilate area and wash spill site after material pickup is complete. Section 7: Handling and Storage Precautions for Safe Handling: Avoid breathing dust. Use only outdoors or in a well-ventilated area. Keep away from clothing and other combustible materials. Take any precaution to avoid mixing with combustibles. Wash thoroughly after handling. Keep out of reach of children. Handle in accordance with good industrial hygiene and safety practice. Conditions for safe storage, including any incompatibilities: Revision Date: 05/12/2015 Page 3 of 8 Safety Data Sheet CBN TM Custom-Blend Nutrients Storage: Hygroscopic -Protect from moisture. Store in a tightly closed container, store in a cool, dry, ventilated place. Store locked up and away from clothing and other combustible materials. Store at temperatures not exceeding 130°F (54°C), preferably not exceeding 86°F (30°C). Section 8: Exposure Controls/Personal Protection Exposure Limits: There are no OSHA PEL's, NIOSH REL's, or ACGIH TLV's applicable to this material. Engineering Controls: Ensure adequate ventilation, especially in confined areas. Ensure that eyewash stations and safety showers are close to the workstation location. Personal Protective Equipment: Eye Protection: Wear appropriate eye protection/face protection. Hand Protection: Wear appropriate protective gloves. Skin and Body Protection: Wear appropriate protective clothing to prevent skin exposure. Take off contaminated clothing and wash before reuse. Respiratory Protection: Use only in a well-ventilated area. Avoid breathing dust. Wear appropriate NIOSH approved respirator if exposure limits are exceeded or irritation occurs. Hygiene Measures: Keep away from clothing and other combustible materials. Use only outdoors or in a well-ventilated area. Wash thoroughly after handling. Handle in accordance with good industrial hygiene and safety practice. Section 9: Physical and Chemical Properties Appearance/Physical State: Color: Odor: Odor Threshold: pH: Melting/Freezing Point: Initial Boiling Point: Flash Point: Evaporation Rate: Flammability (solid, gas): Lower Explosive Limit: Upper Explosive Limit: Vapor Pressure: Vapor Density: Relative Density: Solubility: Partition Coefficient: Autoignition Temperature: Decomposition Temperature: Crystals, granules White Odorless Not Available 7.0 Not Available Not Available Not Available Not Available Not Available Not Available Not Available Not Available Not Available 1.73 @ 77°F (23°C) 118 g/100 g water @ 32°F (0°C) Not Available Not Available Not Available Section 10: Stability and Reactivity Reactivity: No information available. Revision Date: 05/12/2015 Page 4 of 8 Safety Data Sheet CBN TM Custom-Blend Nutrients Stability: Hygroscopic. Stable under recommended storage conditions. Possibility of hazardous reactions: Oxidizer: Contact with combustible/organic material may cause fire. Liberates ammonia in reaction with strong alkalis. Conditions to Avoid: Heat, flame, ignition sources, dusting and incompatibles. Moisture and combustible materials. Shock sensitive. Incompatible Materials: Reducing agents, powdered metals, strong acids, strong oxidizing agents, strong bases, aluminum, antimony, chromium, copper, iron, lead, magnesium, manganese, nickel, zinc, brass, oil, charcoal, organic material, acetic acid, ammonium chloride, bismuth, cadmium, chlorides, cobalt, phosphorus, potassium and ammonium sulfate, sodium, sodium hypochlorite, sodium perchlorate, sodium-potassium alloy, and sulfides. Hazardous Decomposition Products: Other decomposition products -No data available. In case of fire: see section 5. Hazardous Polymerization: Will not occur. Section 11: Toxicological Information Information on Likely Routes of Exposure: Inhalation: May cause respiratory irritation if inhaled. At high temperatures, exposure to toxic nitrogen oxides decomposition products can quickly cause acute respiratory problems. Inhalation of large amounts causes systemic acidosis and abnormal hemoglobin. Ingestion: Large oral doses of nitrates may cause dizziness, abdominal pain, vomiting, bloody diarrhea, weakness, convulsions, and collapse. May cause methemoglobinemia resulting in cyanosis. Skin Contact: Causes skin irritation. Eye Contact: Causes eye irritation. Toxicity Data: Chemical Name LD50 ORAL Trade Secret 1 2217 mg/kg Trade Secret 2 6500 mq/kq ( Rat ) Symptoms: No information available. LOSO DERMAL LC50 INHALATION No data No data 7950 mg/kg ( Rabbit ) No data Delayed and Immediate Effects, Chronic Effects from Short and Long Term Exposure: Sensitization: Mutagenic Effects: Reproductive Toxicity: STOT -Single Exposure: STOT -Repeated Exposure: Aspiration Hazard: Chronic Exposure: Aggravation of Pre-existing Conditions: Revision Date: 05/12/2015 No information available. No information available. No information available. Respiratory system. No information available. No information available. Small repeated oral doses of nitrates may cause weakness, depression, headache, and mental impairment. No information available. Page 5 of 8 Safety Data Sheet CBN TM Custom-Blend Nutrients Carcinog enicity : Com p onent CAS NTP IARC OSHA Trade Secret 1 N/A Not listed Not listed Not listed Trade Secret 2 N/A Not listed Not listed Not listed Additional Information: To the best of our knowledge, the chemical, physical, and toxicological properties have not been thoroughly investigated. Section 12: Ecological Information Ecotoxicity: This product is safe for the environment at the concentrations predicted under normal use conditions. Persistence and Degradability: When released into water, this material is expected to readily biodegrade. Bioaccumulative Potential: No information available. Mobility in Soil: When released into soil, this material is expected to leach into groundwater. When released into the soil, this material is not expected to evaporate significantly. Other Adverse Effects: No information available. Section 13: Disposal Considerations Dispose of contents/container in accordance with all applicable local, state and federal regulations. Section 14: Transport Information For Transportation Emergencies Involving This Material, Call: ChemTrec 1-800-424-9300 Company Code: E419 DOT (LAND): Proper Shipping Name: Hazard Class: UN Number: Packing Group: Placards: DOT Hazardous Substance RQ: DOT Marine Pollutants: AMMONIUM NITRATE BASED FERTILIZER 5.1 UN2067 Ill Oxidizer None/no reportable quantities None/no reportable quantities Section 15: Regulatory Information SARA 302: No chemicals in this material are subject to the reporting requirements of SARA Title Ill, Section 302. Revision Date: 05/12/2015 Page 6 of 8 Safety Data Sheet CBN™ Custom-Blend Nutrients SARA 311/312 Hazard Categories: Acute Health Hazard Yes Chronic Health Hazard No Fire Hazard No Sudden Release of Pressure Hazard No Reactive Hazard Yes SARA 313: The Trade Secret 1 component is subject to reporting levels (>1 .0%) established by SARA Title Ill, Section 313. Additionally, water dissociable ammonia salts are subject to the reporting requirements of SARA 313 when placed in water. State Ri ht-to-Know: Com onent Massachusetts NewJerse Penns lvania Illinois Rhode Island Trade Secret 1 X X X X X TSCA: Not Applicable California Prop. 65 Components : This product does not contain any chemicals known to State of California to cause cancer, birth defects , or any other reproductive harm. Section 16: Other Information NFPA Rating: Health Hazard: Fire: Reactivity Hazard: Other: Legend: 0 0 3 Oxidizer ACGIH: American Conference of Governmental & Industrial Hygienists CAS: Chemical Abstract Service CFR: Code of Federal Regulations DOT: Department of Transportation DSUNDSL: Domestic Substances List/Non-Domestic Substances List IARC: International Agency for the Research of Cancer IATA: International Air Traffic Association ICAO: International Civil Aviation Organization IMDG: International Maritime Dangerous Goods IMO: International Maritime Organizations NFPA: National Fire Protection Association Health , Flammability & Reactivity; Hazard Scale 0 =minimal/none 4= significant NTP: National Toxicology Program OSHA: Occupational Safety & Health Administration PEL: Permissible Exposure Limits RCRA: Resource Conservation & Recovery Act RQ: Reportable Quantity RTK: Right-To-Know SARA: Superfund Amendments & Reauthorization Act STEL: Short Term Exposure Limit TLV: Threshold Limit Value TSCA: Toxic Substances Control Act Revision Date: 05/12/2015 Page 7 of 8 Safety Data Sheet TWA: Time Weighted Average TCLP: Toxicity Characteristic Leaching Procedure VOC: Volatile Organic Compounds CBN™ Custom-Blend Nutrients Disclaimer: The information contained in this SOS is presented in good faith and believed to be accurate based on the information provided. The SOS does not purport to be all inclusive, and shall be used only as a guide. While ETEC, LLC believes that the data contained herein comply with 29 CFR 1910.1200, they are not to be taken as a warranty or representation for which ETEC, LLC assumes legal responsibility. ETEC, LLC shall not be held liable or accountable for any loss or damage associated with the use of this material and information. The recommended industrial hygiene and safe use, handling, storage, and disposal procedures are believed to be generally applicable. However, since the use, handling, storage, and disposal are beyond ETEC, LLC control, it is the responsibility of the user both to determine safe conditions for use of this product and to assume liability of loss, damage, or expense arising out of the material's improper use. Revision Date: 05/12/2015 Page 8 of 8 'LLc F_rivIronrriental Techrm Iugtee 11,1A r�te�HLwni Safety ❑ata Sheet 3830 S Truman Rd. Bldg. 12 Washougal, WA 98671 (971) 222-3903 Fax www.eteclic_com Revision Date. 05/19/2015 Section 1: Product and Company Identification Product Name: MSDS Number: Chemical Name: Chemical Family: Recommended Use: Restrictions on Use: Company: EZT-A2 010 Not Applicable — Biological Material Nat Applicable — Biological Material Petroleum Hydrocarbon Degradation N❑ Data ETEC, LLC 3830 5 Truman Rd. Bldg. 12 Washougal, WA 98571 USA Telephone: (971) 222-3616 Emergency Telephone: (800) 535-5053 Medical Emergencies: (800) 301-7976 U.S. Coast Guard National Response Center: (800) 424-8802 Section 2: GHS Hazards Identification This chemical is not considered hazardous by the 2012 OSHA Hazard Communication Standard (29 CFR 1910.1200) Label Elements: Not a hazardous substance or mixture. Hazards not otherwise classified (HNOC) or not covered by GHS - none Section 3: Composition/Information on Ingredients No ingredients are hazardous according to OSHA criteria. No components need to be disclosed according to the applicable regulations. Section 4: First Aid Measures Description ❑f first aid measures: Revision Date. 05/19/2015 Page 1 of 6 Safety Data Sheet EZT-A2 Inhalation: Remove victim to fresh air and keep at rest in a position comfortable for breathing. If not breathing, give artificial respiration. Call a poison center or doctor/physician if victim feels unwell. Skin Contact: Wash skin with plenty of water. Eye Contact: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. Ingestion: Never give anything by mouth to an unconscious person. Rinse mouth with water. Most important symptoms and effects, both acute and delayed: See sections 2 and/or 11. Indication of any immediate medical attention and special treatment needed: No data available. Section 5: Fire Fighting Measures Suitable Extinguishing Media: Use extinguishing medium suitable for surrounding material. Unsuitable Extinguishing Media: No known information. Specific Hazards Arising from the chemical/substance: None known. Hazardous Combustion Products: None known. Protective Equipment and Precautions for Fire-Fighters: As in any fire, wear self-contained breathing apparatus and full protective gear. Section 6: Accidental Release Measures Personal precautions, protective equipment and emergency procedures: Ensure adequate ventilation. Use personal protective equipment. Avoid dust formation. Do not breathe dusUfume/gas/misUvapors/spray. Environmental Precautions: Do not flush into surface water. See section 12 for further environmental data. Methods for Containment/Cleaning Up: Contain spillage and collect with non-combustible absorbent material. Pick up and transfer to properly labeled containers. Ventilate area and wash spill site after material pickup is complete. Section 7: Handling and Storage Precautions for Safe Handling: Do not breathe vapors/dust. Handle in accordance with good industrial hygiene and safety practice. Use only outdoors or in a well-ventilated area. Wash thoroughly after handling. Keep out of reach of children. Conditions for safe storage, including any incompatibilities: Storage: Keep containers tightly closed in a dry, cool and well-ventilated place. Store at temperatures not exceeding 70°F (20°C). Revision Date: 05/19/2015 Page 2 of6 Safety Data Sheet EZT-A2 Section 8: Exposure Controls/Personal Protection Exposure Limits: There are no OSHA PEL's, NIOSH REL's, or ACGIH TLV's applicable to this material. Engineering Controls: Ensure adequate ventilation, especially in confined areas. Ensure that eyewash stations and safety showers are close to the workstation location. Personal Protective Equipment: Eye Protection: Wear appropriate eye protection/face protection. Hand Protection: Wear appropriate protective gloves. Skin and Body Protection: Wear appropriate protective clothing to prevent skin exposure. Take off contaminated clothing and wash before reuse. Respiratory Protection: Use only in a well-ventilated area. Avoid breathing dust. Wear appropriate NIOSH approved respirator if exposure limits are exceeded or irritation occurs. Hygiene Measures: Wash thoroughly after handling. Handle in accordance with good industrial hygiene and safety practice. Section 9: Physical and Chemical Properties Appearance/Physical State: Color: Odor: Odor Threshold: pH: Melting/Freezing Point: Initial Boiling Point: Flash Point: Evaporation Rate: Flammability (solid, gas): Lower Explosive Limit: Upper Explosive Limit: Vapor Pressure: Vapor Density: Relative Density: Solubility: Partition Coefficient: Autoignition Temperature: Decomposition Temperature: Liquid Brown/Tan Slightly Sour Odor Not Available Not Available Not Available 212°F (100°C) Not Available 1.00 Not Applicable Not Available Not Available 18 mm Hg at 75°F (24°C) Not Available 1.00 Completely soluble in water Not Available Not Available Not Available Section 10: Stability and Reactivity Reactivity: No information available. Stability: Stable under ordinary conditions of use and storage. Conditions to Avoid: None identified. Revision Date: 05/19/2015 Page 3 of 6 Safety Data Sheet EZT -A2 Incompatible Materials: None identified. Hazardous Decomposition Products: Other decomposition products -No data available. In case of fire: see section 5. Hazardous Polymerization: Will Not Occur Section 11: Toxicological Information Information on Likely Routes of Exposure: Inhalation: Ingestion: Skin Contact: Eye Contact: Toxicity Data: No information available. No information available. No information available. No information available. Chemical Name LDS0ORAL LOSO DERMAL LCS0 INHALATION Non-hazardous No data No data No data com ponent Symptoms: No information available. Delayed and Immediate Effects, Chronic Effects from Short and Long Term Exposure: Sensitization: Mutagenic Effects: Reproductive Toxicity: STOT -Single Exposure: STOT-Repeated Exposure: Aspiration Hazard: Chronic Exposure: Aggravation of Pre-existing Conditions: Carcino genicity: Com p onent CAS NTP Non-hazardous N/A Not listed comp onent No information available. No information available. No information available. No information available. No information available. No information available. No information available. No information available. IARC Not listed OSHA Not listed Additional Information: To the best of our knowledge, the chemical, physical, and toxicological properties have not been thoroughly investigated. Section 12: Ecological Information Ecotoxicity: This product is safe for the environment at the concentrations predicted under normal use conditions. Persistence and Degradability: No information available. Revision Date: 05/19/2015 Page 4 of6 Safety Data Sheet Bioaccumulative Potential: No information available. Mobility in Soil: No information available. Other Adverse Effects: No information available. Section 13: Disposal Considerations EZT-A2 Dispose of contents/container in accordance with all applicable local, state and federal regulations. Section 14: Transport Information For Transportation Emergencies Involving This Material, Call: ChemTrec 1-800-424-9300 Company Code: E419 DOT (LAND): Not regulated Section 15: Regulatory Information SARA 302: No chemicals in this material are subject to the reporting requirements of SARA Title Ill, Section 302. SARA 311/312 Hazard Categories: Acute Health Hazard No Chronic Health Hazard No Fire Hazard No Sudden Release of Pressure Hazard No Reactive Hazard No SARA 313: This material does not contain any chemical components with known CAS numbers that exceed the threshold (De Minimis) reporting levels established by SARA Title Ill, Section 313. s tate R" h IQ t-to-K now: Com ponent Massachusetts New Jersey Pennsy lvania Illinois Rhode Island Non------ hazardous Component TSCA: Not Applicable California Prop. 65 Components: This product does not contain any chemicals known to State of California to cause cancer, birth defects, or any other reproductive harm. Section 16: Other Information NFPA Rating: Revision Date: 05/19/2015 Page 5 of6 Safety Data Sheet Health Hazard: Fire: Reactivity Hazard: Legend: 1 0 0 ACGIH: American Conference of Governmental & Industrial Hygienists CAS: Chemical Abstract Service CFR: Code of Federal Regulations DOT: Department of Transportation DSUNDSL: Domestic Substances LisUNon-Domestic Substances List IARC: International Agency for the Research of Cancer IATA: International Air Traffic Association ICAO: International Civil Aviation Organization IMDG: International Maritime Dangerous Goods IMO: International Maritime Organizations EZT-A2 NFPA: National Fire Protection Association Health, Flammability & Reactivity; Hazard Scale 0 =minimal/none 4= significant NTP: National Toxicology Program OSHA: Occupational Safety & Health Administration PEL: Permissible Exposure Limits RCRA: Resource Conservation & Recovery Act RQ: Reportable Quantity RTK: Right-To-Know SARA: Superfund Amendments & Reauthorization Act STEL: Short Term Exposure Limit TLV: Threshold Limit Value TSCA: Toxic Substances Control Act TWA: Time Weighted Average TCLP: Toxicity Characteristic Leaching Procedure VOC: Volatile Organic Compounds Disclaimer: The information contained in this SDS is presented in good faith and believed to be accurate based on the information provided. The SDS does not purport to be all inclusive, and shall be used only as a guide. While ETEC, LLC believes that the data contained herein comply with 29 CFR 1910.1200, they are not to be taken as a warranty or representation for which ETEC, LLC assumes legal responsibility. ETEC, LLC shall not be held liable or accountable for any loss or damage associated with the use of this material and information. The recommended industrial hygiene and safe use, handling, storage, and disposal procedures are believed to be generally applicable. However, since the use, handling, storage, and disposal are beyond ETEC, LLC control, it is the responsibility of the user both to determine safe conditions for use of this product and to assume liability of loss, damage, or expense arising out of the material's improper use. Revision Date: 05/19/2015 Page 6 of6 J LLC EnN4rrrwnentei TerhnDFuqI Safety Data Sheet 3830 S Truman Rd. Bldg. 12 Washougal, Washington 98671 (971) 222-3903 Fax www.etecllc.com Revision Date' 05/19/2015 Section 1: Product and Company Identification Product Name: EZT-EATM MSOS Number: 016 Chemical Name: Mixture Chemical Family: Ethoxylated surfactant mixture Recommended Use: Restrictions on Use: Company: Biosurfactant No Data ET EC, L LC 3830 5 Truman Rd. Bldg. 12 Washougal, WA 98671 USA Telephone: (971) 222-3616 Emergency Telephone: (800) 535-5053 Medical Emergencies: (800) 301-7976 U.S, Coast Guard National Response Center: (800) 424-8802 Section 2: Hazards Identification This chemical is considered hazardous by the 2012 OSHA Hazard Communication Standard (29 CFR 1910.1200) Serious Eye Damage Label Elements: Signal Word: Danger Hazard Statements: Causes serious eye damage. Revision Date: 05/19/2015 I Category 1 Page 1 of 7 Safety Data Sheet EZT-EATM Precautionary Statements: Wash face and hands thoroughly after handling. Wear protective gloves/ eye protection/ face protection. IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. Immediately call a POISON CENTER or doctor/ physician. Collect spillage. Dispose of contents/ container to an approved waste disposal plant. Hazards not otherwise classified (HNOC) or not covered by GHS -none Section 3: Composition/Information on Ingredients Ingredients as defined by 29 CFR 1910.1200: Chemical In redients: CAS Number: Trade Secret Percent Ran e: 30-40% The specific chemical identity and/or exact percentage of the composition has been withheld as Trade Secret in accordance with paragraph (i) of §1910.1200. Section 4: First Aid Measures Description of first aid measures: Inhalation: Remove victim to fresh air and keep at rest in a position comfortable for breathing. If not breathing, give artificial respiration. Skin Contact: Wash with plenty of soap and water. Take off contaminated clothing and wash before reuse. Eye Contact: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. Get medical advice/attention. Ingestion: Never give anything by mouth to an unconscious person. Rinse mouth with water. Most important symptoms and effects, both acute and delayed: See sections 2 and/or 11. Indication of any immediate medical attention and special treatment needed: No data available. Section 5: Fire Fighting Measures Suitable Extinguishing Media: Use any means suitable for extinguishing surrounding fire. Unsuitable Extinguishing Media: No known information. Specific Hazards Arising from the chemical/substance: Thermal decomposition can lead to release of irritating gases and vapors. Hazardous Combustion Products: Phosphorus oxides. Sodium oxides. Carbon Oxides. Revision Date: 05/19/2015 Page 2 of 7 Safety Data Sheet EZT-EATM Protective Equipment and Precautions for Fire-Fighters: As in any fire, wear self-contained breathing apparatus and full protective gear. Section 6: Accidental Release Measures Personal precautions, protective equipment and emergency procedures: Ensure adequate ventilation. Use personal protective equipment. Avoid dust formation. Do not breathe dust/fume/gas/mist/vapors/spray. Environmental Precautions: Do not flush to surface water. See section 12 for further environmental data. Methods for Containment/Cleaning Up: Soak up with non-combustible absorbent. Pick up and transfer to properly labeled containers. Ventilate area and wash spill site after material pickup is complete. Section 7: Handling and Storage Precautions for Safe Handling: Avoid breathing mists or vapors. Use only in a well-ventilated area. Wash thoroughly after handling. Keep out of reach of children. Handle in accordance with good industrial hygiene and safety practice. Conditions for safe storage, including any incompatibilities: Storage: Keep in tightly closed container, store in a cool, dry, ventilated place. Store at temperatures not exceeding 130°F (54 °C). Section 8: Exposure Controls/Personal Protection Exposure Limits: There are no OSHA PEL's, NIOSH REL's, or ACGIH TLV's applicable to this material. Engineering Controls: Ensure adequate ventilation, especially in confined areas. Ensure that eyewash stations and safety showers are close to the workstation location. Personal Protective Equipment: Eye Protection: Wear appropriate eye protection/face protection. Hand Protection: Wear appropriate protective gloves. Skin and Body Protection: Wear appropriate protective clothing to prevent skin exposure. Take off contaminated clothing and wash before reuse. Respiratory Protection: Use only in a well-ventilated area. Avoid breathing dust. Wear appropriate NIOSH approved respirator if exposure limits are exceeded or irritation occurs. Hygiene Measures: Wash thoroughly after handling. Handle in accordance with good industrial hygiene and safety practice. Section 9: Physical and Chemical Properties Revision Date: 05/19/2015 Page 3 of 7 Safety Data Sheet Appearance/Physical State: Color: Odor: Odor Threshold: pH: Melting/Freezing Point: Initial Boiling Point: Flash Point: Evaporation Rate: Flammability (solid, gas): Lower Explosive Limit: Upper Explosive Limit: Vapor Pressure: Vapor Density: Relative Density: Solubility: Partition Coefficient: Autoignition Temperature: Decomposition Temperature: Liquid Clear to slightly hazy tan color Slight to none Not Available 6.5 Not Available Not Available Not Available 1.20 Not Available Not Available Not Available Not Available Not Available 1.00 Complete solubility in water Not Available Not Available Not Available Section 10: Stability and Reactivity Reactivity: No information available. Stability: Stable under ordinary conditions of use and storage. Possibility of hazardous reactions: No information available. Conditions to Avoid: Extremes in temperature and direct sunlight. Incompatible Materials: Strong oxidizing agents, strong acids. EZT-EA™ Hazardous Decomposition Products: Other decomposition products -No data available. In case of fire: see section 5. Hazardous Polymerization: Will not occur. Section 11: Toxicological Information Information on Likely Routes of Exposure: Inhalation: Ingestion: Skin Contact: Eye Contact: Toxicity Data: Chemical Name Trade Secret No information available. No information available. No information available. Risk of serious damage to eyes. LD50 ORAL No data Symptoms: No information available. Revision Date: 05/19/2015 LD50 DERMAL LC50 INHALATION No data No data Page 4 of 7 Safety Data Sheet EZT-EA™ Delayed and Immediate Effects, Chronic Effects from Short and Long Term Exposure: Sensitization: Mutagenic Effects: Reproductive Toxicity: STOT -Single Exposure: STOT-Repeated Exposure: Aspiration Hazard: Chronic Exposure: Aggravation of Pre-existing Conditions: Carcinogenicity: Com onent CAS NTP Trade Secret N/A Not listed No information available. No information available. No information available. No information available. No information available. No information available. No information available. No information available. IARC Not listed OSHA Not listed Additional Information: To the best of our knowledge, the chemical, physical, and toxicological properties have not been thoroughly investigated. Section 12: Ecological Information Ecotoxicity: This product is safe for the environment at the concentrations predicted under normal use conditions. Persistance and Degradability: No information available. Bioaccumulative Potential: No information available. Mobility in Soil: No information available. Other Adverse Effects: No information available. Section 13: Disposal Considerations Dispose of contents/container in accordance with all applicable local, state and federal regulations. Section 14: Transport Information For Transportation Emergencies Involving This Material, Call: ChemTrec 1-800-424-9300 Company Code: E419 DOT (LAND): Not regulated. Section 15: Regulatory Information SARA 302: No chemicals in this material are subject to the reporting requirements of SARA Title Ill, Section 302. Revision Date: 05/19/2015 Page 5 of 7 Safety Data Sheet E.ZT-EAT SARA 311/312 Hazard Categories: Acute Health Hazard Yes Chronic Health Hazard No Fire Hazard No Sudden Release of Pressure Hazard No Reactive Hazard No SARA 313: This material does not contain any chemical components with known CAS numbers that exceed the threshold (De Minimis) reporting levels established by SARA Title III, Section 313. State Right -to -Know: Component Massachusetts Trade Secret New Jersey I Pennsylvania x x Illinois Rhode Island TSCA: Not Applicable California Prop. 65 Components: This product does not contain any chemicals known to State of California to cause cancer, birth defects, or any other reproductive harm+. Section 16: Other Information NFPA Rating: Health Hazard: 1 Fire: 0 Reactivity Hazard: 0 Legend: ACGIH: American Conference of Governmental & Industrial Hygienists CAS: Chemical Abstract Service CFR: Code of Federal Regulations DOT: Department of Transportation DSUNDSL: Domestic Substances List/Non-Domestic Substances List IARC: International Agency for the Research of Cancer IATA: International Aft Traffic Association ICAO: International Civil Aviation Organization IMDG: International Maritime Dangerous Goods IMO: International Maritime Organizations NFPA: National Fire Protection Association Health, Flammability & Reactivity; Hazard Scale 0 =minimalfnone 4= significant NTP: National Toxicology Program OSHA: Occupational Safety & Health Administration PEL: Permissible Exposure Limits RCRA: Resource Conservation & Recovery Act RQ: Reportable Quantity RTK: Right -To -Know SARA: Superfund Amendments & Reauthorization Act STEL: Short Term Exposure Limit TLV: Threshold Limit Value TSCA: Toxic Substances Control Act TWA: Time Weighted Average Revision Date: 05i19/2015 Page 6 of 7 Safety Data Sheet TCLP: Toxicity Characteristic Leaching Procedure VOC: Volatile Organic Compounds EZT-EA™ Disclaimer: The information contained in this SDS is presented in good faith and believed to be accurate based on the information provided. The SDS does not purport to be all inclusive, and shall be used only as a guide. While ETEC, LLC believes that the data contained herein comply with 29 CFR 1910.1200, they are not to be taken as a warranty or representation for which ETEC, LLC assumes legal responsibility. ETEC, LLC shall not be held liable or accountable for any loss or damage associated with the use of this material and information. The recommended industrial hygiene and safe use, handling, storage, and disposal procedures are believed to be generally applicable. However, since the use, handling, storage, and disposal are beyond ETEC, LLC control, it is the responsibility of the user both to determine safe conditions for use of this product and to assume liability of loss, damage, or expense arising out of the material's improper use. Revision Date: 05/19/2015 Page 7 of 7